Peritoneal dialysis following open heart surgery in children

Hanson, Jeffrey B.; Loftness, Stanley L.; Clarke, David R.; Campbell, David N.

doi:10.1007/bf02081674

Cited by 26 publications

(18 citation statements)

References 12 publications

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“…The mortality rate in children with acute renal failure following heart surgery has been reported ranging from 10% to 90% [1][2][3][4][5][6]10,12,20 , and our data confirm these values. This prognosis has been most determined by the underlying disease, intercurrent infections, and hemodynamic changes than by the dialytic method employed.…”

Section: Discussionsupporting

confidence: 87%

“…For those catheters surgically placed, we observed no significant hemorrhages, infection at the site of catheter insertion, or troublesome leaking, even though problems of obstruction or drainage requiring catheter replacement have been described in the literature. Kholi et al 19 and Hanson et al 20 showed only one and two cases, respectively, of catheter malfunctioning. They also had no mechanical complications in the children studied (31 and 22 children, respectively).…”

Section: Discussionmentioning

confidence: 97%

See 1 more Smart Citation

Outcome of acute renal failure associated with cardiac surgery in infants

Romão¹,

Fuzissima²,

Vidonho³

et al. 2000

Arq. Bras. Cardiol.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 97%

Outcome of acute renal failure associated with cardiac surgery in infants

Romão¹,

Fuzissima²,

Vidonho³

et al. 2000

Arq. Bras. Cardiol.

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“…9,10,15 The complications of PD detected in this study were similar to those seen in other reports, consisting primarily of infection and catheter malfunction. 24,25 The reported complications in catheter functioning are around 30%, nearly 2% being major complications, of the catheters inserted in their pediatric patients which is nearly identical with our cohort (30.3%). The leakage of the peritoneal fluid from the catheter site and ineffective drainage of the peritoneal fluid through the peritoneal catheter were accepted as peritoneal catheter malfunctioning.…”

Section: Discussionsupporting

confidence: 78%

Early Initiation of Peritoneal Dialysis after Arterial Switch Operations in Newborn Patients

et al. 2012

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Background and aim: We investigated the clinical outcome of early initiated peritoneal dialysis (PD) use in our newborn patients who underwent arterial switch operation (ASO) for transposition of the great arteries (TGA) and had routine intraoperative PD catheter implantation. We determined the risk factors for PD, factors associated with prolonged PD, morbidity, and mortality. The aim of the present study was to describe our experience of using PD in this patient cohort. Materials and Methods: Eighty two patients who were diagnosed with TGA and TGA-ventricular septal defect (VSD) and who had undergone TGA correction operation in Başkent University, Istanbul Medical Research and Training Hospital between 2007 and 2012 were retrospectively investigated. All the patients were under 30 days old. PD catheters were routinely implanted intraoperatively at the end of the operation. PD was initiated in transient renal insufficiency. In the absence of oliguria and increased creatinine level, PD was established in the presence of one of the following: clinical signs of fluid overload, hyperkalemia (>5 mEq/L), persistent metabolic acidosis, lactate level above 8 mmol/L or low cardiac output syndrome. The patients were divided into two groups according to the need for postoperative PD (PD group and non-PD group). PD was initiated in 32 (39%) patients after the operation, whereas 50 (61%) patients did not need dialysis. The clinical outcomes and perioperative data of the two groups were compared. Results: The demographics in the two groups were similar. Cardiopulmonary bypass time was longer in the PD group [non-PD group, 175.24 AE 32.39 min; PD group, 196.22 AE 44.04 min (p < 0.05)]. Coronary anomaly was found to be higher in the PD group [non-PD group, n ¼ 2 patients (4.0%); PD group, n ¼ 7 patients (21.9%); p < 0.05]. There was more need for PD in TGA þ VSD patients [simple TGA patients, n ¼ 14; TGA þ VSD patients, n ¼ 18 (p < 0.05)]. PD rate was higher in patients whose sterna were left open at the end of the operation (p < 0.05).

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“…In addition, the myocardium in the postoperative patient is exquisitely sensitive to additional stress such as electrolyte imbalance, fluid overload, or acid-base derangement, and may necessitate dialysis without ARF. 4,14 Hemodynamic alterations are important in these patients after surgery. Peritoneal dialysis represents a simple and safe system for fluid removal.…”

Section: Discussionmentioning

confidence: 99%

“…Possible etiologies that have been suggested for the development of acute renal insufficiency in the immediate postoperative cardiac patient are preoperative cyanosis, preoperative renal insufficiency, preoperative congestive heart failure, polycythemia, history of diabetes mellitus, cardiopulmonary bypass time more than 140 minutes, postoperative hypotension, and low cardiac output. [3][4][5][6] Peritoneal dialysis is frequently used for ARF following open-heart surgery in children. Peritoneal dialysis is a safe and effective therapeutic measure for children after cardiac bypass surgery.…”

Section: Introductionmentioning

confidence: 99%