Draining Fluids through a Peritoneal Catheter in Newborns after Cardiac Surgery Helps to Control Fluid BalanceReportar como inadecuado




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Case Reports in MedicineVolume 2010 2010, Article ID 731865, 3 pages

Case Report

Department of Pediatric Nephrology, CHU Sainte-Justine Hospital, University of Montréal, 3175, Côte Sainte Catherine, Montréal, QC, Canada H3T 1C5

Pediatric Intensive Care, Sainte-Justine Hospital, University of Montréal, QC, Canada H3T 1C5

Cardiac Surgery, Sainte-Justine Hospital, University of Montréal, QC, Canada H3T 1C5

Received 23 November 2009; Revised 12 March 2010; Accepted 19 March 2010

Academic Editor: Bruno Megarbane

Copyright © 2010 Elisa Ruano Cea et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Dialysis can be used in severe cases, but may not be well tolerated. In such patients, peritoneal drainage could be an alternative option for fluid removal. We report the case of a newborn with a truncus arteriosus who developed postoperatively a complicated clinical course with right ventricular dysfunction, prerenal condition as well as fluid overload despite diuretic therapy. Dialysis was indicated for fluid removal. Peritoneal dialysis was started using a surgically placed Tenckhoff catheter and stopped due to inefficacy and leaks and no other modalities of dialysis were used. However, the catheter was left in place over a period of two months for fluid drainage and removed because of unexplained fever. In order to determine the effect of peritoneal drainage, we selected a period of one week before and one week after the removal of the drain to compare daily clinical data, urine electrolytes and renal function and found a positive effect on fluid balance control. We conclude that the fluid removal by continuous peritoneal drainage is a simple and safe alternative that can be used to control fluid balance in infants after cardiac surgery.





Autor: Elisa Ruano Cea, Philippe Jouvet, Suzanne Vobecky, and Aicha Merouani

Fuente: https://www.hindawi.com/



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