Peritoneal Dialysis in Very Low Birth Weight Neonates

Stojanović, Vesna; Bukarica, Svetlana; Antić, Jelena; Doronjski, Aleksandra

doi:10.3747/pdi.2016.00039

Cited by 29 publications

(34 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some complications associated with PD in premature infants include mechanical dysfunctions, such as dialysate leakage and catheter obstruction requiring revision or reinsertion, intraperitoneal hemorrhage, and bowel perforation [17,20,29]. Peritoneal fluid leakage around the PD catheter and along the tunnel is a serious problem that can increase the risk of bacterial and fungal peritonitis [21,30].…”

Section: Discussionmentioning

confidence: 99%

“…In this study, the complications observed in relation to PD were mainly caused by catheterrelated dialysate leakage, which was resolved after adjustment of the dwell volume or reinsertion of the catheter on the other side. In a previous study, a tissue adhesive, i.e., commercially available fibrin glue, was used at the insertion site [29]. Therefore, selection of an optimal catheter for PD is very important to minimize the complications associated with PD access.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Noh

Kim

Jung³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Peritoneal dialysis (PD) has been used occasionally in extremely-low-birth-weight (ELBW) infants with acute kidney injury (AKI). This study aimed to evaluate the clinical characteristics and outcomes of ELBW infants with AKI treated with PD.Methods: In this retrospective cohort study, the medical records of ELBW infants with AKI, who underwent PD from January 2008 to February 2018, were reviewed. A PD catheter (7.5–9.0 Fr) or central venous catheter (4 Fr) was used for the peritoneal access. Treatment with PD solutions (2.5 or 4.25%) was started at 10 mL/kg, which was increased to 20–30 mL/kg for 60–120 min/cycle continuing for 24 hours.Results: Twelve ELBW infants (seven male and five female infants) were treated, and their mean gestational age and birth weight were 27.2 (±3.3) weeks and 706.5 (±220.5) g, respectively. There were two patients who had severe perinatal asphyxia (5-min Apgar score ≤3). The most important indication for starting PD was AKI due to sepsis. The average duration of PD was 9.4 (±7.7) days. The potassium levels in the ELBW infants with hyperkalemia decreased from 6.8 to 5.0 mg/mL after 9.3 (±4.4) days. The most common complication of PD was mechanical dysfunction of the catheters, such as dialysate leakage (75%). Two patients were successful weaned off PD. The mortality rate of the infants treated with PD was 91.7%.Conclusions: The mortality rate of ELBW infants with AKI treated with PD is quite high because their organ system is not completely developed. Therefore, the use of PD should be carefully considered for the treatment of ELBW infants with AKI.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Noh

Kim

Jung³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…In this study, the complications observed in relation to PD were mainly caused by catheter-related dialysate leakage, which was resolved after adjustment of the dwell volume or reinsertion of the catheter on the other side. In a previous study, a tissue adhesive, i.e., commercially available brin glue, was used at the insertion site [32]. Therefore, selection of an optimal catheter for PD is very important to minimize the complications associated with PD access.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have shown that acute PD is still an appropriate treatment option for VLBW newborns with AKI [15,32,40]. Furthermore, some studies have reported PD experiences in extremely immature infants [14, 17, 20-23, 31, 40, 41].…”

Section: Discussionmentioning

confidence: 99%

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

Noh

Kim

Jung

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Peritoneal dialysis (PD) has been used occasionally in extremely-low-birth-weight (ELBW) infants with acute kidney injury (AKI). This study aimed to evaluate the clinical characteristics and outcomes of ELBW infants with AKI treated with PD. Methods: In this retrospective cohort study, the medical records of ELBW infants with AKI, who underwent PD from January 2008 to February 2018, were reviewed. A PD catheter (7.5–9.0 Fr) or central venous catheter (4 Fr) was used for the peritoneal access. Treatment with PD solutions (2.5 or 4.25%) was started at 10 mL/kg, which was increased to 20–30 mL/kg for 60–120 min/cycle continuing for 24 hours. Results: Twelve ELBW infants (seven male and five female infants) were treated, and their mean (±SD) gestational age and birth weight were 27.2 (±3.3) weeks and 706.5 (±220.5) g, respectively. Two patients had severe perinatal asphyxia (5-min Apgar score ≤ 3). The most important indication for starting PD was AKI due to sepsis. The average (±SD) duration of PD was 9.4 (± 7.7) days. The potassium levels in the ELBW infants with hyperkalemia decreased from 6.8 to 5.0 mg/mL after 9.3 (± 4.4) days. The most common complication of PD was mechanical dysfunction of the catheters, such as dialysate leakage (75 %). Two patients were successful weaned off PD. The mortality rate of the infants treated with PD was 91.7 %. Conclusions: In this series, the mortality rate of ELBW infants with AKI treated with PD was relatively high because of their incompletely developed organ systems. Therefore, the use of PD should be carefully considered for the treatment of ELBW infants with AKI in terms of decisions regarding resuscitation .

show abstract

“…La mortalidad de los RN con LRA que realizan DP es muy elevada (del 50 % al 80 %), 24,25 sobre todo, porque se instaura en neonatos gravemente comprometidos.…”

Section: Complicaciones De La Diálisis Peritonealunclassified

Consenso de lesión renal aguda en el recién nacido Comité Nacional de Nefrología (2018-2019)

2020

Arch Argent Pediat

View full text Add to dashboard Cite

RESUMEN La lesión renal aguda constituye un factor de riesgo independiente de la morbimortalidad en el recién nacido. Dentro de este grupo etario, presentan aún más susceptibilidad los recién nacidos prematuros en los cuales la nefrogénesis no se ha completado y los recién nacidos de bajo peso que presentan menor masa nefronal. Todo esto hace que el recién nacido deba ser evaluado y manejado de modo diferente al paciente pediátrico. En el presente consenso, se presentan las nuevas definiciones de lesión renal aguda y se revisan las diferentes etiologías, los métodos de diagnóstico y los tratamientos recomendados. Palabras clave: lesión renal aguda, recién nacido, neonato.

show abstract

Peritoneal Dialysis in Very Low Birth Weight Neonates

Abstract: Acute PD is still an appropriate treatment choice for VLBW neonates with AKI. In VLBW neonates, PD can be performed with an improvised PD system and catheters.

Cited by 29 publications

References 32 publications

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Effect of Peritoneal Dialysis on Extremely Low Birth Weight Infants: A Retrospective Cohort Study

Challenges of acute peritoneal dialysis in extremely-low-birth-weight infants: a retrospective cohort study

Consenso de lesión renal aguda en el recién nacido Comité Nacional de Nefrología (2018-2019)

Contact Info

Product

Resources

About