A unique approach to peritoneal dialysis in infants.
Little recorded experience exists concerning the use of chronic peritoneal dialysis in the infant. We herein report the results of a multidisciplinary approach to two infants who were treated with a unique modification of "short-dwell" peritoneal dialysis. A single-bag technique was devised in the hopes of reducing glucose absorption and protein losses while concomitantly permitting a simplified manual method of cycling peritoneal dialysis. The desired nutritional needs of the infants consisted of a caloric intake of 140 calories/kg/d and a protein intake of 3.0 to 4.0 g/kg/d, a goal that often required administration through a nasogastric tube. The timely initiation of peritoneal dialysis and the strict adherence to the prescribed dietary regimen was associated with continued growth in both patients. Repeated developmental assessments of each child were conducted and revealed normal development in one patient and mild delay, but gradual improvement, in the other.
Warady
B A
BA
Stall
C
C
Paulsen
J
J
Johnson
C B
CB
Sedman
A
A
Lum
G M
GM
D001806:Blood Urea Nitrogen; D002408:Catheters, Indwelling; D002657:Child Development; D003404:Creatinine / Q000032:analysis; D004750:Enteral Nutrition; D005526:Food, Formulated; D005947:Glucose / Q000032:analysis; D006128:Growth; D006801:Humans; D007223:Infant; D008607:Intellectual Disability; D007668:Kidney / Q000002:abnormalities; D008297:Male; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000379:methods*; D011506:Proteins / Q000032:analysis; D011597:Psychomotor Performance; D012996:Solutions / Q000032:analysis; D013997:Time Factors; D014521:Urethra / Q000002:abnormalities
D011506:Proteins; D012996:Solutions; D003404:Creatinine; D005947:Glucose