Inotropic support and peritoneal dialysis adequacy in neonates after cardiac surgery.
Interact Cardiovasc Thorac Surg
; 7(1): 116-20, 2008 Feb.
Article
en En
| MEDLINE
| ID: mdl-18055480
ABSTRACT
We describe the impact of cardiovascular pharmacologic support on peritoneal dialysis adequacy in 20 neonates who required postoperative renal replacement therapy following cardiopulmonary bypass exposure. Peritoneal dialysis was administered for 2.5 (2) days. Peritoneal dialysis creatinine clearance was 3.4 (2.1) ml/min/1.73 m(2) and ultrafiltration rate was 9.75 (10) ml/h. Residual creatinine clearance was 31 (26) ml/min/1.73 m(2). Peritoneal dialysis creatinine clearance appeared to be a function of dialysate flow up to 100 ml/h. No correlation was present between inotropes and vasopressors infusion and peritoneal dialysis creatinine clearance/ultrafiltration rate. LDH clearance was 0.59 (0.85) ml/min/1.73 m(2) and it did not appear to have a correlation with dialysate flow. Patients in-hospital mortality was 20%, significantly higher than overall neonatal population admitted to our ICU (4.8%, P=0.02). Peritoneal dialysis in neonates allows optimal ultrafiltration rate and adequate small solute clearance, irrespective of hemodynamic status or vasopressor support.
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Banco de datos:
MEDLINE
Asunto principal:
Cardiotónicos
/
Diálisis Peritoneal
/
Lesión Renal Aguda
/
Cardiopatías Congénitas
/
Procedimientos Quirúrgicos Cardíacos
/
Contracción Miocárdica
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Año:
2008
Tipo del documento:
Article