PERITONEAL DIALYSIS FOLLOWING PEDIATRIC OPEN HEART SURGERY

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NAJMABADI M. H.; YOUSEFNIA M.A.; GHAFFARIPOUR M.

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Journal: IRANIAN HEART JOURNAL Year:2000 | Volume:1 | Issue:2 Page(s): 141-148

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Title

PERITONEAL DIALYSIS FOLLOWING PEDIATRIC OPEN HEART SURGERY

Author(s)

NAJMABADI M. H. | YOUSEFNIA M.A. | GHAFFARIPOUR M.

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Abstract

Background. Children undergoing cardiopulmonary bypass (CPB) often demonstrate increased
capillary-permeability and accumulation of excess total-body water (TBW), which can lead to
multiple~organ failure and death. The management consists of efforts to diminish the circulating
inflammatory mediators from CPB include preemptive -therapies to diminish the inflammatory
response and Temovals trategies to eliminate. the inflammatory mediators. It has been
demonstrated that .peritoneal dialysis is an effective and safe procedure that not only removes
excess ototal-body water and pro-inflammatory factors but also improves hemodynamics,
pulmonary and renal function. We studied the role of peritoneal dialysis in infants and children
undergoingopen-heart surgery at our department.
Methods. Among 1258 pediatric open-heart surgery cases from January 1996 to September 2000
at our center, 64 patients demonstrated indication for peritoneal dialysis. Our criteria of
performing peritoneal dialysis were presence of ascites or oliguria. We measured volume of
peritoneal -fluid, as wen as negative balance, urine output and gastric fluid every 2 hours. Central
venous pressure and other hemodynamic parameters (MAP, HR) were monitored during
peritoneal dialysis
Results. Criteria for performing peritoneal dialysis (ascites or oliguria) were found in 64 of 1258
(5.0 %) patients. Diagnosis for 23 patients was VSD with pulmonary hypertension, 14 patients
had transposition of the great arteries (TGA), and 11 patients were candidates for total correction
of tetralogy of Fallot. Nineteen of sixty-four patients died mostly due to cardiovascular problems
(mortality rate 29.6%). The mean interval between the operation and peritoneal catheter insertion
was 10.36±5.95 hours. In the first day the volume of negative balance was 69.51 ±11.80mI,
which decreased to 19.41 ±5.81 ml on the fifth day. Urine output was 45.83±6.17(ml/kg/24h)
on the first day or 3.31±0.6 (ml/kg/h) in the first hours of peritoneal dialysis and improved to
62.91±12.44 on the third day of peritoneal dialysis. CVP was 13.24±2.49 cmH20 and declined
to 10.95 ±1.16 two hours following peritoneal catheter insertion. We found no grossly cloudy or
bloody peritoneal fluid.
Conclusion. We conclude that peritoneal dialysis is a safe procedure for infants and children
after open heart surgery to reduce CPB complications and preventing multiple organ fai

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APA: Copy

NAJMABADI, M. H., YOUSEFNIA, M.A., & GHAFFARIPOUR, M.. (2000). PERITONEAL DIALYSIS FOLLOWING PEDIATRIC OPEN HEART SURGERY. IRANIAN HEART JOURNAL (IHJ), 1(2), 141-148. SID. https://sid.ir/paper/279340/en

Vancouver: Copy

NAJMABADI M. H., YOUSEFNIA M.A., GHAFFARIPOUR M.. PERITONEAL DIALYSIS FOLLOWING PEDIATRIC OPEN HEART SURGERY. IRANIAN HEART JOURNAL (IHJ)[Internet]. 2000;1(2):141-148. Available from: https://sid.ir/paper/279340/en

IEEE: Copy

M. H. NAJMABADI, M.A. YOUSEFNIA, and M. GHAFFARIPOUR, “PERITONEAL DIALYSIS FOLLOWING PEDIATRIC OPEN HEART SURGERY,” IRANIAN HEART JOURNAL (IHJ), vol. 1, no. 2, pp. 141–148, 2000, [Online]. Available: https://sid.ir/paper/279340/en

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