Document Detail

Peritoneal dialysis following open heart surgery in children.
MedLine Citation:
PMID:  2798187     Owner:  NLM     Status:  MEDLINE    
Over the course of the last 5 years, we have instituted peritoneal dialysis on 26 (7.7%) of 338 complex postoperative cardiac bypass cases. The mean age of dialysis patients was 0.64 +/- 0.75 years with a range of 0.1-2.5 years. The indications for the start of dialysis were oliguria (15 cases), fluid overload (three cases), hyperkalemia (one case), and anuria (seven cases). There were no complications as the result of dialysis, although two of the dialysis catheters had to be replaced. Dialysis successfully treated the starting indication in all cases. Dialysis was instituted at 47 +/- 50 (12-240) h after bypass, and lasted 111 +/- 134 (18-552) h; early institution of dialysis had no effect on mortality. Low cardiac output was a significant predictor of death in dialysis patients (p = 0.015). Age was a significant determinant of death (p = 0.0001) and the need for dialysis (p = 0.0043) in the total bypass population; the younger the patient, the greater was the likelihood of death or the need for dialysis. Age, however, was not a predictor of mortality in the peritoneal dialysis group.
J Hanson; S Loftness; D Clarke; D Campbell
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  10     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1989  
Date Detail:
Created Date:  1989-11-07     Completed Date:  1989-11-07     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  125-8     Citation Subset:  IM    
Department of Cardiac Surgery, Children's Hospital of Denver, Denver, Colorado 80218.
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MeSH Terms
Aging / physiology
Cardiac Output, Low / etiology,  mortality
Cardiac Surgical Procedures*
Child, Preschool
Infant, Newborn
Peritoneal Dialysis*
Postoperative Care
Postoperative Complications / mortality
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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