Peritoneal dialysis after repair of congenital heart disease in children.
OBJECTIVE
To investigate the effect of peritoneal dialysis on fluid balance and outcome in children who receive cardiac operation.


METHODS
From July to Dec. 2000, 12 (2.08%) patients of 576 consecutive children who underwent heart operation required peritoneal dialysis because of acute renal failure. The mean age of these 12 patients was (2.9+/-2.0) years (range, 5 months-7 years) and the mean body weight was (12+/-3) kg (range, 7.4-18.5 kg).


RESULTS
The interval between the operation and the initiation of peritoneal dialysis was (21.2+/-11.4) hours (4.4-42 hours). The duration of peritoneal dialysis was (6.3+/-4.8) days (0.47-15 days). Mortality in these 12 patients was 25%. Fluid removed by peritoneal dialysis was (34.7+/-17.8) ml x kg(-1) x day(-1). Asymoptomatic hypokalemia, thrombocytopenia and hyperglycemia were frequent complications, which were easily managed. Hemodynamics and pulmonary function improved during the study period.


CONCLUSIONS
The early initiation of peritoneal dialysis is an effective and safe method to treat acute renal failure after cardiac operation in children.
Xinjin
Luo
L
Department of Cardiovascular Surgery, Fu Wai Hospital, CAMS & PUMC, Beijing 100037.
Jianping
Xu
X
Xiangdong
Shen
S
Xia
Chen
C
D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010530:Peritoneal Dialysis; D011183:Postoperative Complications