title: [Continuous ambulatory peritoneal dialysis: efficient treatment for children with terminal uremia].
abstract: We have reviewed records of 12 children underwent CAPD between January 84 and May 88, ranging in age from 7 month to 16 years (mean age 8.9 +/- 4.9 years). CAPD treatment lasted from 3 to 24 months (average 10.3 months). Exchanges of dialysis fluid were performed by parents (8 cases) or children (3); mean volume was 41.7 +/- 8.7 ml/kg/exchange (range 32-58 ml/kg). During 132 patient months of treatment laboratory data showed a good metabolic control expect a tendency to hypoalbuminemia. There were 3 catheter changes. Complications were: peritonitis (15 episodes or one infection every 8.8 patient/treatment/months), hypertension (5 cases), hypervolemia (2), cuff extrusion (4), local exit site (5) and tunnel (2) infections and hernias (2). CAPD has been continued in 3 children; 6 other received renal transplantation, one was switched to hemodialysis and 2 died. This study has demonstrated that CAPD was an effective treatment for renal failure in children waiting renal transplant. Cuff extrusion and hypoalbuminemia were common complications in our children.
authors.forename: J E
authors.initials: JE
authors.lastname: Romão Júnior
authors.forename: J A
authors.initials: JA
authors.lastname: Fares
authors.forename: E C
authors.initials: EC
authors.lastname: Silva
authors.forename: M A
authors.initials: MA
authors.lastname: Fadil
authors.forename: H
authors.initials: H
authors.lastname: Abensur
authors.forename: V C
authors.initials: VC
authors.lastname: Massola
authors.forename: M
authors.initials: M
authors.lastname: Marcondes
authors.forename: E
authors.initials: E
authors.lastname: Sabbaga
mesh_terms: D000206:Actuarial Analysis; D000293:Adolescent; D002404:Catheterization / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects; D010538:Peritonitis / Q000209:etiology; D013727:Terminal Care; D014511:Uremia / Q000628:therapy
vernacular_title: Diálise peritoneal ambulatorial contínua (DPAC): tratamento eficaz para crianças em uremia terminal.