Related Experiment Video

Updated: Dec 27, 2025

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

3.0K

Peritoneal dialysis during congenital heart surgery admissions: insights from a large database

Rohit S Loomba1, Enrique G Villarreal2,3, Ronald A Bronicki2

  • 1Cardiology, Pediatrics, Advocate Children's Hospital, Oak Lawn, IL, USA.

Cardiology in the Young
|March 6, 2020
PubMed

Insights

Peritoneal dialysis in children after congenital heart surgery is linked to lower hospitalization costs but higher mortality. Further research is needed to balance these risks and benefits.

Area of Science:

  • Pediatric Cardiology
  • Pediatric Critical Care
  • Renal Replacement Therapy

Background:

  • Fluid overload management post-congenital heart surgery traditionally relies on diuretics, fluid restriction, and dialysis.
  • Limited data exists on the specific impact of peritoneal dialysis in this pediatric population.

Purpose of the Study:

  • To investigate the association between peritoneal dialysis and clinical outcomes in children undergoing congenital heart surgery.
  • To identify factors influencing the use of peritoneal dialysis in this patient group.

Main Methods:

  • Retrospective analysis of the Kids' Inpatient Database (1997-2012).
  • Inclusion of patients under 18 years old who underwent congenital heart surgery.
  • Logistic regression used to identify factors associated with peritoneal dialysis utilization.

Main Results:

  • 181 (0.4%) of 46,176 admissions utilized peritoneal dialysis.
  • Peritoneal dialysis was associated with a younger mean age (7.6 months) compared to non-dialysis patients (39.6 months).
  • Peritoneal dialysis independently correlated with a significant decrease in hospitalization costs (-$57,500) but a significant increase in mortality (OR 1.5).

Conclusions:

  • Peritoneal dialysis is utilized in specific pediatric subsets following congenital heart surgery.
  • While associated with reduced hospitalization costs, peritoneal dialysis independently increases mortality risk.
  • Further investigation is required to elucidate the precise risks and benefits of peritoneal dialysis in children with congenital heart disease.
Abstract

Keywords:
CHDPaediatricskidneyperitoneal dialysisrenal insufficiency

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

1.7K
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

15.9K

Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
370
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
1.7K
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
474
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
1.0K
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
287
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
515