title: Peritoneal dialysis for acute renal failure in children.
abstract: Fifty infants and children with acute renal failure were treated with acute peritoneal dialysis between 1987 and 1990. The patients were dialyzed using either a catheter introduced percutaneously over a guide-wire (n = 40) or a Tenckhoff catheter (n = 10). The cause of the acute renal failure was primary renal disease in 17 children, cardiac disease in 19, and trauma/sepsis in 14. Peritoneal dialysis succeeded in controlling metabolic abnormalities, improving fluid balance, and relieving the complications of uremia. The procedure had few major complications. Overall mortality was 50%, reflecting the serious nature of the underlying diseases. We conclude that acute peritoneal dialysis is a safe and effective treatment in most pediatric patients with acute renal failure. Our series of patients treated with acute peritoneal dialysis serves as a basis of comparison for the evaluation of new modalities of therapy in childhood acute renal failure.
authors.affiliation: Department of Pediatrics, UCSD School of Medicine 92093-0609.
authors.forename: V M
authors.initials: VM
authors.lastname: Reznik
authors.forename: W R
authors.initials: WR
authors.lastname: Griswold
authors.forename: B M
authors.initials: BM
authors.lastname: Peterson
authors.forename: A
authors.initials: A
authors.lastname: Rodarte
authors.forename: M E
authors.initials: ME
authors.lastname: Ferris
authors.forename: S A
authors.initials: SA
authors.lastname: Mendoza
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006331:Heart Diseases / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007674:Kidney Diseases / Q000150:complications; D009102:Multiple Organ Failure / Q000150:complications; D010530:Peritoneal Dialysis; D015996:Survival Rate; D016896:Treatment Outcome