Imaging of Peritoneal Dialysis Complications in Children

Radiographics ◽  
2022 ◽  
Author(s):  
Eman Marie ◽  
María Navallas ◽  
Elizabeth Harvey ◽  
Reza Vali ◽  
Sunit Davda ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Dialysis Complications

scholarly journals Surgical complications of peritoneal dialysis in children with acute kidney failure

2020 ◽  
Vol 11 (3) ◽  
pp. 57-63
Author(s):  
Dmitrii A. Dobroserdov ◽  
Mikhail V. Shchebenkov ◽  
Alexey L. Shavkin
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
North West ◽  
The North ◽  
Specialized Center ◽  
Uremic Syndrome ◽  
Specialized Department ◽  
Dialysis Complications

The dialysis department of the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies has been operating since 1977 and is the only specialized department in the North-West Region of the Russian Federation that provides assistance to children with both acute and chronic renal failure. Peritoneal dialysis is the treatment of choice for children with acute renal failure, the most common cause of which is hemolytic-uremic syndrome. Despite widely used measures to improve the results of peritoneal dialysis, complications are extremely common. The article analyzes the complications of peritoneal dialysis in children with acute renal failure who were treated in a hospital from 2008 to 2018. The emphasis in the study is on the analysis of complications of peritoneal dialysis, in the treatment of which the surgeon actively participated or should have taken part in. If the problem of acute renal failure is multidisciplinary in the sense that it requires the participation of nephrologists, resuscitators, infectious disease specialists, then if necessary, renal replacement therapy requires the surgeon to become not only a specialist providing access, but also a full-fledged participant in the treatment process. As follows from the foregoing, the surgeons actions depend not only on the quality of dialysis, but also the timeliness and adequacy of treatment of complications, which ultimately improves or worsens the quality of medical care in general.

Imaging Work-Up for Peritoneal Access Care and Peritoneal Dialysis Complications

2006 ◽  
Vol 29 (1) ◽  
pp. 142-152 ◽  
Author(s):  
R. Scanziani ◽  
M. Pozzi ◽  
L. Pisano ◽  
G. Santagostino Barbone ◽  
B. Dozio ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Dialysis Complications ◽  
Work Up

Endstage Renal Failure due to Multiple Myeloma — Poor Survival on Peritoneal Dialysis

1988 ◽  
Vol 11 (1) ◽  
pp. 39-42 ◽  
Author(s):  
J.S. Tapson ◽  
H. Mansy ◽  
R. Wilkinson
Keyword(s):  
Multiple Myeloma ◽  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Tumour Cell ◽  
Cell Mass ◽  
Chronic Peritoneal Dialysis ◽  
Poor Survival ◽  
Endstage Renal Failure ◽  
Dialysis Complications

This report describes five subjects with endstage renal failure due to multiple myeloma. All of the patients died within seven months of commencing chronic peritoneal dialysis. Complications were frequent during the dialysis period. Our experience supports the opinion that patients with multiple myeloma and a high tumour cell mass should not be offered dialysis.

Acute Peritoneal Dialysis Access in Infant Renal Failure

1996 ◽  
Vol 16 (1_suppl) ◽  
pp. 509-511 ◽  
Author(s):  
Timothy E. Bunchman
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Peritoneal Dialysis ◽  
Rapid Onset ◽  
Dialysis Access ◽  
Minimal Risk ◽  
University Of Michigan ◽  
Equipment Availability ◽  
Dialysis Complications ◽  
The University

Rapid onset of acute peritoneal dialysis (PD) in the infant population is, in part, dependent upon equipment availability. From March 1991 until June 1995, over 200 children at the University of Michigan have undergone dialysis for acute renal failure. Of these children, 29 infants (mean±SEM) (age 4.5±1.3 months; weight 4.8±0.5 kg) have had placement of an acute 5 French Cook PD catheter for dialysis. Complications including inadequate inflow in one case, bleeding in one case, and accidental removal in one case were infrequent. Duration of the placed catheters was 9.9±2.7 days, without the problems associated with chronic placement of a stiff catheter. Onset of dialysis occurred within minutes due to rapid access. We conclude that the placement of a 5 French Cook acute PD catheter for acute PD in the infant population is easily performed with minimal risk. Moreover, this allows for more rapid onset of PD when conditions mandate this need.

The Role of Peritoneal Scintigraphy in the Detection of Continuous Ambulatory Peritoneal Dialysis Complications

Renal Failure ◽  
2006 ◽  
Vol 28 (8) ◽  
pp. 709-713 ◽  
Author(s):  
Handan Tokmak ◽  
Ayşe Mudun ◽  
Cuneyt Türkmen ◽  
Yasemin Şanli ◽  
Sema Cantez ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Ambulatory Peritoneal Dialysis ◽  
Dialysis Complications ◽  
Peritoneal Scintigraphy

Laparoscopy and the Management of Peritoneal Dialysis Complications.

2008 ◽  
Vol 4 ◽  
pp. S79
Author(s):  
Rene Hilaire Priso ◽  
Rony Sfeir ◽  
Annie Lahoche ◽  
Estelle Aubry ◽  
Khalid Moosa ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Dialysis Complications

Pregnancy in Chronic Dialysis: A Review and Analysis of the Literature

1998 ◽  
Vol 21 (5) ◽  
pp. 259-268 ◽  
Author(s):  
W.S. Chan ◽  
N. Okun ◽  
C.M. Kjellstrand
Keyword(s):  
Renal Failure ◽  
Peritoneal Dialysis ◽  
Gestational Age ◽  
English Literature ◽  
Age At Onset ◽  
Creatinine Ratio ◽  
Fetal Survival ◽  
Gestational Age At Delivery ◽  
The Mean ◽  
Dialysis Complications

Pregnancy is uncommon in end-stage renal failure, particularly in patients requiring dialysis. We reviewed the literature from 1965 to date, seeking an optimal way of dialyzing pregnant women after encountering one such patient. Methods We searched the English literature by cross-referencing “pregnancy” with “hemo-” or “peritoneal dialysis” and “renal failure”. Eighty-six pregnancies worldwide were found to which we added one case of our own. Various independent factors were studied against gestational age at delivery using uni- and multivariate analysis. These factors included mother's age, previous delivery, diagnoses of renal disease, dialysis duration prior to pregnancy, gestational age at onset of dialysis, dialysis type, level of hemoglobin during pregnancy, BUN and creatinine targets, BUN/creatinine ratio, dialysis intensity at the beginning and end of pregnancy, influence of erythropoietin and dialysis complications. Results Of the 87 pregnancies, 12% resulted in stillbirths, 9% of neonates died prior to discharge. The mean gestational age at delivery was 32 ± 5 weeks, and the mean birth weight 1604 ± 652 g. Two congenital abnormalities and one twin pregnancy were reported. 48% of deliveries were premature. Pre-eclampsia was reported in 11%, and worsening hypertension in 17%. CAPD was used in 25 and hemodialysis in 62 patients. Fetal survival was similar in both cases (72% vs 82%), although incidence of various dialysis complications differed. The conventional dialysis goals of a low target BUN level and hemoglobin for pregnant patients were not factors in predicting fetal outcome. The number of hemodialyses/week were negatively correlated (R = -0.35, P = 0.061), but the hours of dialysis positively correlated (R = 0.42, p = 0.035) to gestational age. Fetal survival was independently influenced by creatinine level [564 µmol/L when baby survived vs 788 µmol/L when baby died (p = 0.021)], BUN/creatinine ratio (50 vs 30, p = 0.053), and hours of dialysis (5.6 hrs vs 3.6 hrs, p=0.013). There was no relation of either frequency or volume of peritoneal dialysis exchanges to gestational age or fetal survival. Conclusions Greater attention to a high intake of protein (>1.5 g/kg) and higher dose of hemodialysis, achieved by longer, every other day dialysis, may be the optimal approach to pregnant patients on hemodialysis. Our first attempt to define the goal of hemodialysis is to keep the predialysis creatinine below 600 mmol/L and the protein intake high enough so the predialysis BUN level is >25 mmol/L. There are no clear guidelines on how to best perform CAPD.

scholarly journals Assessing the knowledge of caregivers of children undergoing peritoneal dialysis in Riyadh, Saudi Arabia

2018 ◽  
Vol 9 (1) ◽  
pp. 44
Author(s):  
Fatmah Abdullah Awaji ◽  
Nour Mahfouz Al Thibani ◽  
Nawal Abdulbagi Alsulami ◽  
Sarah Saad Al Otaibi ◽  
Salma Moawad
Keyword(s):  
Peritoneal Dialysis ◽  
End Stage Renal Disease ◽  
Statistical Correlation ◽  
Inclusion Criteria ◽  
Adequate Knowledge ◽  
Sociodemographic Data ◽  
Treatment Knowledge ◽  
Stage Renal Disease ◽  
Dialysis Complications ◽  
End Stage

Background and objective: Children with end stage renal disease (ESRD) are commonly placed onto chronic peritoneal dialysis (PD) while awaiting a transplant. Those children require a caregiver to assume major responsibility for their treatment. Knowledge of those caregivers is very important to prevent complications. This study aimed to assess the knowledge of caregivers of children undergoing PD in Riyadh.Methods: A convenient sample of 41 caregivers of children on PD from three hospitals in Riyadh and who met the inclusion criteria participated in this study. Structured questions were developed by the researchers and used to collect data regarding the study that consisted of two parts. The first part included sociodemographic data of children and the caregivers. The second part contained 36 questions that assessed the knowledge of the caregivers.Results: The majority of caregivers were mothers who were not working. All caregivers were educated, and most were from the central region of Riyadh. It was found that the caregivers had more knowledge than expected, the source of this knowledge was from physicians. There was a high correlation between the knowledge and education level of caregivers. Moreover, there was a significantly statistical correlation between correct answer and sociodemographic data of caregivers’ water supply, type of services and distance between home and the nephrology center.Conclusions and recommendations: Most caregivers have adequate knowledge regarding the care of children with ESRD; however, some weaknesses were identified. The caregivers do not know the symptoms of the disease and they are unable to identify signs of dehydration and the importance of weight to prevent dialysis complications. One third of the sample did not know about the complications of PD. We recommend frequent sessions of PD management and care.

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