Journals / Turkish Journal of Pediatrics / 2020 / Cilt: 62 - Sayı: 6

Peritoneal dialysis as a life-saving procedure in an extremely low birth weight infant: case report and review of the literature

Pages
1069–1076
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

PD may be a live-saving procedure in extremely low birth weight infants with severe AKI

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute kidney injury (AKI) is a common condition in the neonatal intensive care unit (NICU), particularly in preterm infants.
📊
Key Findings & Data:A female infant was born at 24 and 4/7 weeks with a birth weight of 460 grams after an emergency cesarian section from a preeclamptic pregnacy.
💡
Conclusion & Impact:PD may be a live-saving procedure in extremely low birth weight infants with severe AKI
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Background. Acute kidney injury (AKI) is a common condition in the neonatal intensive care unit (NICU), particularly in preterm infants. Management of AKI in neonates is challenging. Peritoneal dialysis (PD) has been preferred as the most applicable modality in neonates when medical therapy fails. Case. A female infant was born at 24 and 4/7 weeks with a birth weight of 460 grams after an emergency cesarian section from a preeclamptic pregnacy. She developed AKI secondary to sepsis. A neonatal, straight single-cuff Tenckhoff catheter was inserted and PD was started on day 12. PD was discontinued after 6 days, on day 18 with adequate urine output and normalization of kidney function tests. However, the patient died on day 152 secondary to a nosocomial infection. Conclusion. To the best of our knowlegde, our case is the smallest infant in whom PD was performed succesfully with a PD catheter. PD is a relatively safe, effective and a feasible therapy in the neonatal population even in the smallest infants. PD may be a live-saving procedure in extremely low birth weight infants with severe AKI

🔖

Cite This Article

ÇETİNKAYA, M., ERCAN, T. E., YAVUZ, S., ÖZAYDIN, S. (2020). Peritoneal dialysis as a life-saving procedure in an extremely low birth weight infant: case report and review of the literature. Turkish Journal of Pediatrics, Cilt: 62 - Sayı: 6, 1069–1076. https://ajindex.com/articles/411824

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Sweetman DU. Neonatal acute kidney injurySeverity and recovery prediction and the role of serum and urinary biomarkers. Early Hum Dev 2017; 105: 57-61
  2. Jetton JG, Askenazi DJ. Acute kidney injury in the neonate. Clin Perinatol 2014; 41: 487-502
  3. Sutherland SM, Ji J, Sheikhi FH, et al. AKI in hospitalized children:epidemiology and clinical associations in a national cohort. Clin J Am Soc Nephrol 2013; 8: 1661-1669
  4. Selewski DT, Charlton JR, Jetton JG, et al. Neonatal acute kidney injury. Pediatrics 2015; 136: e463-e473
  5. Kent AL, Charlton JR, Guillet R, et al. Neonatal acute kidney injury: a survey of neonatologists’ and nephrologists’ perceptions and practice management. Am J Perinatol 2018; 35: 1-9
  6. Lee CC, Chan OW, Lai MY, et al. Incidence and outcomes of acute kidney injury in extremely-lowbirth-weight infants. PLoS One 2017; 12: e0187764
  7. Nada A, Bonachea EM, Askenazi DJ. Acute kidney injury in the fetus and neonate. Semin Fetal Neonatal Med 2017; 22: 90-97
  8. Koralkar R, Ambalavanan N, Levitan EB, McGwin G, Goldstein S, Askenazi D. Acute kidney injury reduces survival in very low birth weight infants. Pediatr Res 2011; 69: 354-358
  9. Coulthard MG. The management of neonatal acute and chronic renal failure: a review. Early Hum Dev 2016; 102: 25-29
  10. Kaddourah A, Goldstein SL. Renal replacement therapy in neonates. Clin Perinatol 2014; 41: 517-527
  11. Harshman LA, Muff-Luett M, Neuberger ML, et al. Peritoneal dialysis in an extremely low-birth weight infant with acute kidney injury. Clin Kidney J 2014; 7: 582-585
  12. Alparslan C, Yavascan O, Bal A, et al. The performance of acute peritoneal dialysis treatment in neonatal period. Ren Fail 2012; 34: 1015-1020
  13. Unal S, Bilgin L, Gunduz M, Uncu N, Azili MN, Tiryaki T. The implementation of neonatal peritoneal dialysis in a clinical setting. J Matern Fetal Neonatal Med 2012; 25: 2111-2114
  14. Oyachi N, Obana K, Kimura S, Kubo M, Naito A, Nemoto A. Use of a flexible Blake® silicone drains for peritoneal dialysis in the neonatal intensive care unit. Pediatr Int 2011; 53: 417-418
  15. Yu JE, Park MS, Pai KS. Acute peritoneal dialysis in very low birth weight neonates using a vascular catheter. Pediatr Nephrol 2010; 25: 367-371
  16. Yokoyama S, Nukada T, Ikeda Y, Hara S, Yoshida A. Successful peritoneal dialysis using a percutaneous tube for peritoneal drainage in an extremely low birth weight infant: a case report. Surg Case Rep 2017; 3: 115
  17. Macchini F, De Carli A, Testa S,