Peritoneal dialysis after repair of congenital heart disease in children.

Abstract

OBJECTIVE:

To investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation.

METHODS:

From July to Dec. 2000, 12 (2.08%) patients of 576 consecutive children who underwent heart operation required peritoneal dialysis because of acute renal failure. The mean age of these 12 patients was (2.9+/-2.0) years (range, 5 months-7 years) and the mean body weight was (12+/-3) kg (range, 7.4-18.5 kg).

RESULTS:

The interval between the operation and the initiation of peritoneal dialysis was (21.2+/-11.4) hours (4.4-42 hours). The duration of peritoneal dialysis was (6.3+/-4.8) days (0.47-15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was (34.7+/-17.8) ml x kg(-1) x day(-1). Asymoptomatic hypokalemia, thrombocytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period.

CONCLUSION:

The early initiation of peritoneal dialysis is an effective and safe method to treat acute renal failure after cardiac operation in children.

• Authors: Luo Xinjin, Xu Jianping, Shen Xiangdong, Chen Xia
• Journal: Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih (Chin Med Sci J) Vol. 18 Issue 2 Pg. 100-4 (Jun 2003) ISSN: 1001-9294 [Print] China
• PMID: 12903792 (Publication Type: Journal Article)

Topics

• Acute Kidney Injury (etiology, therapy)
• Child
• Child, Preschool
• Female
• Heart Defects, Congenital (surgery)
• Humans
• Infant
• Male
• Peritoneal Dialysis
• Postoperative Complications