Document Detail


The implementation of neonatal peritoneal dialysis in a clinical setting.
MedLine Citation:
PMID:  22420616     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To investigate etiology, outcome and complications related to neonatal peritoneal dialysis (PD). Methods: Neonates treated with PD in our neonatal intensive care unit during 2007-2010 were analyzed retrospectively. Results: Among 4036 hospitalized neonates; 20 neonates (0.5%) who underwent 21 cycles of PD [7 preterm, 13 term; 13 female, 7 male] were included. The mean birth weight was 2930.2 ± 720.6 g (1120-4570), mean gestational age was 37.5 ± 3.5 weeks (27-41). The etiologic disorders included inborn errors of metabolism (propionic acidemia, methylmalonic acidemia, citrullinemia, glutaric aciduria type2, maple syrup urine disease, 10), or acute renal failure secondary to perinatal asphyxia (4), sepsis (2), prematurity (2), hypoplastic left heart syndrome (1), kernicterus (1). The complications included peritonitis (2), early leakage (4), hemorrhage (1), catheter removal (3) and occlusion (2). The mortality rate was 50%. The gestational ages and birth weights of surviving neonates were higher (p < 0.05). Among surviving neonates, chronic renal failure (1), severe (4) and moderate neuromotor impairment (2) developed within 4-43 months. Conclusion: PD, although invasive, is an effective therapy in neonates. The complexity and invasiveness of the procedure is probably responsible for high rate of complications and mortality. If appropriate catheter selection and technique in the placement should be done, PD might improve outcome.
Authors:
Sevim Unal; Leyla Bilgin; Mehmet Gunduz; Nermin Uncu; Mujdem Nur Azili; Tugrul Tiryaki
Related Documents :
1586176 - Plasma hypoxanthine: a marker for hypoxic-ischaemic induced periventricular leucomalacia?
16122636 - Prenatal stroke in a neonate heterozygous for factor v leiden mutation.
2109976 - Phrenic nerve damage in the tiny infant during vein cannulation for parenteral nutrition.
12736806 - Cerebral aspergillosis in an infant with corticosteroid-resistant nephrotic syndrome.
23470326 - Transgenerational effects of neonatal hypoxia-ischemia in progeny.
874736 - Maturation of the rectoanal response in premature and perinatal infants.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-16
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neonatology, Ankara Children's Health Hematology Oncology Research Hospital , Ankara , Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Quality of caesarean delivery services and documentation in first-line referral facilities in Afghan...
Next Document:  Quality of Life After Surgery for Graves' Disease: Comparison of Those Having Surgery Intended to Pr...