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Continuous ambulatory peritoneal dialysis in small children with acute renal failure
Insights
Continuous ambulatory peritoneal dialysis (CAPD) helped five children with acute renal failure manage their catabolic state. While one child gained weight, most maintained stable body weight during treatment for acute kidney injury.
Area of Science:
- Pediatrics
- Nephrology
- Critical Care Medicine
Background:
- Acute renal failure in children presents significant challenges, including a catabolic state.
- Managing nutritional status and body weight is crucial during acute kidney injury.
- Continuous ambulatory peritoneal dialysis (CAPD) is a treatment option for pediatric acute renal failure.
Purpose of the Study:
- To evaluate the efficacy of CAPD in managing the catabolic state of acute renal failure in children.
- To assess changes in body weight and nutritional status during CAPD treatment.
- To determine the outcomes of CAPD in pediatric patients with acute kidney injury.
Main Methods:
- A cohort of five children with acute renal failure were treated with CAPD between January 1980 and January 1982.
- Patients were allowed a free diet with slight fluid restriction.
- Body weight changes and renal function recovery were monitored.
Main Results:
- CAPD treatment was initiated to address the catabolic state associated with anuria.
- Only one child experienced significant weight gain; others maintained stable body weight.
- Treatment was discontinued upon improvement of renal function, with a mean creatinine clearance of 20 ml/min/1.73m2.
Conclusions:
- CAPD can be a viable treatment for acute renal failure in children, helping to mitigate catabolism.
- Nutritional status, particularly body weight, may remain stable in most pediatric patients during CAPD.
- Successful recovery of renal function allows for termination of CAPD treatment in pediatric acute kidney injury.
Abstract:
In the period January 1980 to January 1982 five small children with acute renal failure were treated with continuous ambulatory peritoneal dialysis (CAPD) to overcome the catabolic state of the anuric stage. A free diet was allowed during this period except for slight restriction in fluid intake. Weight gain was only observed in one child, whereas in the others no significant change of body weight was noticed. CAPD treatment was terminated as renal function improved and a creatinine clearance of 20 ml/min/1.73m2 was achieved.