ESPN 50th Annual Meeting

ESPN 2017


 
Peritoneal Dialysis in Very Low Birth Weight Neonates
VESNA STOJANOVIC 1 SVETLANA BUKARICA 1 JELENA ANTIć 1 ALEKSANDRA DORONJSKI 1

1- INSTITUTE FOR CHILD AND YOUTH HEALTH CARE OF VOJVODINA
2- Medical Faculty, Universitety of Novi Sad
 
Introduction:

 The aim of this retrospective study is to evaluate clinical characteristics and outcomes of the very low birth weight (VLBW) neonates with acute kidney injury (AKI) treated with peritoneal dialysis (PD). 

Material and methods:

 A retrospective study has included 10 VLBW neonates treated with PD. Intravenous (IV) cannula and umbilical venous catheter were used for the peritoneal access. 

Results:

 Mean age in the moment of starting PD was 14.9 ± 9.3 days. Mean body weight (BW) was 825± 215 g. The average gestational age was 26.3 ±1.1 weeks.  The average duration of dialysis was 20.5±14.7h. The average ultrafiltration was 7.7± 4.2ml/kg/h. In the moment of starting the PD, the average BW was 302±317g (22±13%) higher than at birth. The main cause of AKI was sepsis (n=8/10). The dialysate leak was registered in two patients, one patient had peritonitis and the other one had a blockade of PD catheter. Six patients have died during the PD (severe sepsis), one has died due to hypoxic encephalopathy and coma and two patients have survived. One patient (with hypoxic encephalopathy and coma) has died 10 days after PD was stopped due to sepsis. The overall mortality was 80%. 

Conclusions:

 Acute PD is still an appropriate treatment choice for VLBW neonates with AKI. In VLBW neonates, PD can be performed by an improvised PD system and catheters.