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Catheter Access Management for Acute Peritoneal Dialysis

Insertion of a peritoneal dialysis (PD) catheter is frequently done by interventional nephrologists, but these procedures are typically only performed for adults. Almost all invasive procedures in children are performed by pediatric surgeons. If a pediatric surgeon is unavailable, the initiation of...

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Autores principales: Rahil, Mohamed Amine, Bouzgueg, Achour
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184793/
https://www.ncbi.nlm.nih.gov/pubmed/32355661
http://dx.doi.org/10.1159/000506674
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author Rahil, Mohamed Amine
Bouzgueg, Achour
author_facet Rahil, Mohamed Amine
Bouzgueg, Achour
author_sort Rahil, Mohamed Amine
collection PubMed
description Insertion of a peritoneal dialysis (PD) catheter is frequently done by interventional nephrologists, but these procedures are typically only performed for adults. Almost all invasive procedures in children are performed by pediatric surgeons. If a pediatric surgeon is unavailable, the initiation of PD in acute situations may be delayed, thus increasing the risk of complications and chronic kidney disease. For these patients, the main obstacle to initiating renal replacement therapy is access, even when involving central vein catheter (CVC) or peritoneal access. Here we report the case of a 10-kg baby affected by hemolytic and uremic syndrome diarrhea in whom all of the procedures to manage the complications of acute kidney injury (PD catheter insertion, PD catheter revision, CVC placement, and CVC revision) were undertaken by interventional nephrologists. This experience allowed us to rapidly treat the acute kidney injury, recover normal kidney function thereby avoiding chronic complications, and allowing us to discharge the baby from the intensive care unit.
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spelling pubmed-71847932020-04-30 Catheter Access Management for Acute Peritoneal Dialysis Rahil, Mohamed Amine Bouzgueg, Achour Case Rep Nephrol Dial Case Report Insertion of a peritoneal dialysis (PD) catheter is frequently done by interventional nephrologists, but these procedures are typically only performed for adults. Almost all invasive procedures in children are performed by pediatric surgeons. If a pediatric surgeon is unavailable, the initiation of PD in acute situations may be delayed, thus increasing the risk of complications and chronic kidney disease. For these patients, the main obstacle to initiating renal replacement therapy is access, even when involving central vein catheter (CVC) or peritoneal access. Here we report the case of a 10-kg baby affected by hemolytic and uremic syndrome diarrhea in whom all of the procedures to manage the complications of acute kidney injury (PD catheter insertion, PD catheter revision, CVC placement, and CVC revision) were undertaken by interventional nephrologists. This experience allowed us to rapidly treat the acute kidney injury, recover normal kidney function thereby avoiding chronic complications, and allowing us to discharge the baby from the intensive care unit. S. Karger AG 2020-04-14 /pmc/articles/PMC7184793/ /pubmed/32355661 http://dx.doi.org/10.1159/000506674 Text en Copyright © 2020 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Rahil, Mohamed Amine
Bouzgueg, Achour
Catheter Access Management for Acute Peritoneal Dialysis
title Catheter Access Management for Acute Peritoneal Dialysis
title_full Catheter Access Management for Acute Peritoneal Dialysis
title_fullStr Catheter Access Management for Acute Peritoneal Dialysis
title_full_unstemmed Catheter Access Management for Acute Peritoneal Dialysis
title_short Catheter Access Management for Acute Peritoneal Dialysis
title_sort catheter access management for acute peritoneal dialysis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184793/
https://www.ncbi.nlm.nih.gov/pubmed/32355661
http://dx.doi.org/10.1159/000506674
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