Acute peritoneal dialysis in children

J. Yahav, Z. Barzilay, M. Aladjem, Z. Baron, H. Boichis

Research output: Contribution to journalArticlepeer-review

Abstract

This paper refers on acute peritoneal dialysis in the pediatric age group. During the last 22 months 10 periods of peritoneal dialyses were performed on 7 children whose ages ranged from 3 months to 8 years. Dialysis was performed using either Tenkhoff Catheter for a disposable peritoneal dialysis Catheter (Travenol lab) or else a 14 gauge cannula. Mean duration of each dialysis 61.2 hours (range 22 to 93 hours). Mean volume of dialysate was 24 ml/kg b.w. (range 19-33). The rate of fluid extraction during the first 24 hours using a 3% devtrose solution was 4.96±1.33 ml per kg b.w./h (n=5), whereas using a 1.5% dextrose, the rate of fluid extraction was 3.22±0.91 ml per kg body weight/hour (n=5). After the first 24 hours fluid extraction was similar in both groups. The observed decline in blood urea level during the first 24 hours of dialysis was 20% (range 14-30). Complications concerned mainly technical problems, such as leakage around the insertion of the catheter, local edema or occlusion. There were peritoneal infections without any clinical sign. In our experience acute peritoneal dialysis seems easy to perform, inexpensive and is the treatment of choice in cases of acute renal deterioration in this age group. Peritoneal Dialysis (P.D.) is a common mode of treatment (1-6) for acute and chronic renal failure in children. Compared to hemodialysis it is easy to perform, and inexpensive. It is indicated in the following clinical situations; 1) Hyperazotemia associated with progressive mental deterioration, 2) Severe progressive metabolic acidosis, 3) Hyperkalemia, 4) Fluid overload with congestive heart failure, 5) Drug overdose, 6) Chronic renal failure, where it is used as an intermittent mode of maintenance therapy before starting hemodialysis or as an alternative in preparation for renal transplantation. The literature on acute PD in the pediatric age group is scanty. The authors report their experience in acute PD performed in 7 patients.

Original languageEnglish
Pages (from-to)33-35
Number of pages3
JournalInternational Journal of Pediatric Nephrology
Volume2
Issue number1
StatePublished - 1981
Externally publishedYes

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