Daniel Stromberg, MD ...... Shaw NJ, Brocklebank JR, Dickinson DF, Wilson N, Walker. DR. ... Butler J, Rocker GM, Westaby S. Inflammatory response to.
Pediatric Cardiology
Peritoneal Dialysis An Adjunct to Pediatric Postcardiotomy Fluid Management
Daniel Stromberg, MD Charles D. Fraser, Jr., MD Jonathan M. Sorof, MD Kathy Drescher, RN Timothy F. Feltes, MD
Section editor: Timothy F Feltes, MD Key words: Cardiopulmonary bypass/adverse effects; heart defects, congenital! surgery; heart surgery! adverse effects; infant, newborn; peritoneal dialysis From: The Lillie Frank Abercrombie Section of Cardiology of the Department of Pediatrics, Baylor College of Medicine, the Department of Pediatric Cardiology of the Texas Heart Institute, and the
Cardiology Department at Texas Children's Hospital, Houston, Texas 77030
Address for reprints: Timothy F Feltes, MD, MC 2-2280, Division of Cardiology, Texas Children's Hospital, 6621 Fannin Street, Houston, TX 77030 Texas Heart Institute Journal
Patients requiring cardiopulmonary bypass for congenital heart surgery commonly exhibit impaired renal function and extravascular fluid retention. These conditions contribute to early postoperative fluid overload, which may result in significant morbidity and mortality. We examined the safety and efficacy of peritoneal dialysis in removing extravascular fluid from critically ill postcardiotomy patients. A retrospective case review from July of 1995 through April of 1996 was conducted. All patients undergoing peritoneal dialysis achieved a net negative fluid balance. Average urine output increased from 2. 1 cc/kg/hr to 3.9 cc/kg/hr (P
