Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy

BACKGROUND: Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enteroco...

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Detalles Bibliográficos
Autores principales: Kaul, Amita, Jadhav, Kapil, Shah, Sachin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2019
Materias:
Brief Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535992/
https://www.ncbi.nlm.nih.gov/pubmed/31160841
http://dx.doi.org/10.5005/jp-journals-10071-23167
Descripción
Sumario:BACKGROUND: Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enterocolitis with ileostomy who developed AKI. Peritoneal dialysis was started by a modifying intercostal drain. RESULTS: Doing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury. CONCLUSION: Peritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications. KEY MESSAGE: Challenging technical problems in potentially fatal conditions sometimes respond to simple innovation. Initiation of early peritoneal dialysis in a sick ELBW with ileostomy and AKI helped saved her life. HOW TO CITE THIS ARTICLE: Kaul A, Jadhav K, Shah S. Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy. Indian J Crit Care Med 2019;23(5):232–233.

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