Case Report

 

Authors: A. Osichenko ¹, R. Maslarska ², K. Anadoliyski ^1
1Department of Hemodialysis, Tokuda Hospital Sofia
²Department of Neonatology, Tokuda Hospital Sofia

 

Contact details: A. Osichenko, Department of Hemodialysis, Tokuda Hospital Sofia, 51B Nikola Vaptsarov Blvd., Sofia 1407, Telephone: +3592 4034300, +359 884933100, e-mail: alosichenko@abv.bg

 

Keywords: acute renal failure, peritoneal dialysis, multiple organ failure, newborns

 

Abstract

The incidence of acute renal failure in preterm low and very low birth weight newborns is up to 6%-8%. Peritoneal dialysis is one of the main methods for renal failure treatment in neonates.
Objective: To illustrate the capacity of peritoneal dialysis as a method of choice for renal failure treatment in newborns.
Materials and methods: A full-term newborn girl with severe meconium aspiration syndrome and multiple organ failure. On the 3rd day of the treatment, the infant presented with clinical and biochemical indicators of renal failure and a unresponsive to conservative therapy hyperkalaemia (10.7 mmol/l) and oliguria. A peritoneal catheter was placed using Seldinger technique, and a peritoneal dialysis began in two-hour dialysis intervals with Dianeal PD4 dialysate solution in a volume of 10 ml/kg which gradually increased up to 20 ml/kg.
Results: Decreasing levels of serum nitrogen and potassium (6.0 mmol/l) were reported on the 24th hour after the beginning of the peritoneal dialysis.
Conclusion: The peritoneal dialysis is an effective method for acute renal failure treatment in the neonatal period.