Percutaneous intraperitoneal catheters in neonates following open heart surgery

Noa Averbuch, Einat Birk, Georgy Frenkel, Omar Gogia, Orit Manor Shulman, Elchanan Bruckheimer, Elchanan Nachum, Gabriel Amir

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective: Ascitic fluid in the peritoneal cavity may severely impair respiratory and renal function following neonatal heart surgery. It has been our practice to liberally insert percutaneous peritoneal catheters (PPCs) in order to manage fluid balance and thereby improve ventilatory function. We herein report our experience with PPC. Methods: Retrospective analysis of charts of all surviving neonates that underwent PPC insertion from January 2007 through March 2010. Charts were reviewed for demographic and clinical variables from the preoperative, operative, and postoperative periods. Results: A total of 1268 patients underwent surgery, 292 (23%) were neonates. 17 (5.8%) patients required PPC. Mean age and weight were 16 days and 3.1 kg, respectively. Mean amount drained upon insertion was 55 ± 46 ml. Catheters were maintained for a mean of 5 days and drained an average of 201 ml on the first postinsertion day. Ventilatory settings did not change significantly prior to and postcatheter insertion (respiratory rate [29 ± 3.8 vs 28.7 ± 3.9; P = .93], inspiratory pressures [26.3 ± 3.6 vs 26.1 ± 3.3 cm H2O; P = .34], and fraction of inspired oxygen [0.66 ± 0.21 vs 0.63 ± 0.18; P = .53]). Carbon dioxide values decreased significantly (43.2 ± 9.7 vs 37 ± 4.9 mm Hg; P = .01), and PO2 values increased (78 ± 69 vs 104 ± 57 mm Hg; P = .05). Conclusions: The PPC insertion can be easily performed at the bedside with minimal complications. Fluid balance management is facilitated, and ventilation is improved. The PPC insertion is a valuable addition to the armamentarium of the physician treating neonates in the intensive care unit after complex congenital heart surgery.

Original languageEnglish
Pages (from-to)160-164
Number of pages5
JournalJournal of Intensive Care Medicine
Volume29
Issue number3
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • congenital heart surgery
  • fluid balance
  • intensive care
  • peritoneal catheters
  • ventilation

Fingerprint

Dive into the research topics of 'Percutaneous intraperitoneal catheters in neonates following open heart surgery'. Together they form a unique fingerprint.

Cite this