Modified Peritoneal Dialysis for Treatment of Acute Renal Failure after Complex Congenital Heart Surgery in Infants

• DOI: 10.1532/hsf.1915
• Publication Date: 2018-06-26T12:05:01Z
• Authors: Lefeng Zhang; Yongqiang Jin; Fuqiang Zhang; Hongyin Li; Qingyu Wu
• Keywords: Blood urea nitrogen

Acute kidney injury (AKI) is one of the common complications in infants and children after complex congenital heart surgery. Peritoneal dialysis (PD) usually applied for renal replacement therapy (RRT), especially infants. We investigated efficacy safety modified PD treatment acute failure congestive cardiac surgery disease infants.We retrospectively analyzed five consecutive patients from October 2015 to February 2017. The were aged four days years old, all had In treated with (five males; average weight: 11.2 ± 5.5 kg), we used Seldinger technique percutaneous abdominal puncture 16 G single lumen central venous catheter instead Tenckhoff peritoneal as a catheter. Modified was intermittent. recorded monitored circulation metabolism index.Five cases (100%) restored normal function. Congestive gradually alleviated, pulmonary cardiovascular function improved. Urine volume increased. Neither peritonitis nor leakage occured any our cases. increased due PD, 0.16 + 0.18 mL/kg*h before 2.63 1.05 ml/kg*h at end (P < .05). Serum creatinine, serum urea nitrogen, K+ changed 85.0 36.5 μmol/L, 17.1 7.5 mmol/L, 4.57 0.30 mmol/L 76.0 36.7 20.1 11.0 4.42 0.42 respectively > Acidosis, hyperkalemia, hypoxemia low output syndrome All cured discharged function.We conclude that safe, feasible, less invasive therapeutic strategy AKI undergoing surgery, worthy being widely clinical practice.