Conservative management of chylothorax with autoinfusion of pleural fluid during hemodialysis.
Utilizing this new procedure in an outpatient nephrology setting, we were able to maintain E.T.'s positive nitrogen balance, prevent infection, and minimize respiratory distress. In addition, his mother was involved in all decisions and was supportive to her son and the nursing staff. After E.T.'s AVF matured, the central venous catheter was removed and the superior vena cava dilated. The chylothorax resolved itself without further interventions. Chest x-rays were clear. E.T. remained asymptomatic, and 6 months later he received a successful renal transplant.
Kolnacki
Ken
K
Pediatric Dialysis Unit, Albany Medical Center Hospital, Albany, NY, USA.
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects*; D002648:Child; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy*; D008297:Male; D009404:Nephrotic Syndrome / Q000151:congenital; D009733:Nursing Diagnosis; D006435:Renal Dialysis / Q000295:instrumentation*; D013479:Superior Vena Cava Syndrome / Q000209:etiology