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Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy
Amita Kaul1, Kapil Jadhav1, Sachin Shah1
1Department of Pediatrics, Surya Mother and Child Superspecialty Hospital, Pune, Maharashtra, India.
Background:
Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enterocolitis with ileostomy who developed AKI. Peritoneal dialysis was started by a modifying intercostal drain.
Results:
Doing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury.
Conclusion:
Peritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications.
Key Message:
Challenging technical problems in potentially fatal conditions sometimes respond to simple innovation. Initiation of early peritoneal dialysis in a sick ELBW with ileostomy and AKI helped saved her life.
How To Cite This Article:
Kaul A, Jadhav K, Shah S. Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy. Indian J Crit Care Med 2019;23(5):232-233.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...

