ICVTS Click here to go to Siemens website
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Interact CardioVasc Thorac Surg 2008;7:116-120. doi:10.1510/icvts.2007.165118
© 2008 European Association of Cardio-Thoracic Surgery
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Ricci, Z.
Right arrow Articles by Picardo, S.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ricci, Z.
Right arrow Articles by Picardo, S.
Related Collections
Right arrow Anesthesia
Right arrow Cardiac - other
Right arrow Congenital - acyanotic
Right arrow Congenital - cyanotic

Institutional report - Congenital

Inotropic support and peritoneal dialysis adequacy in neonates after cardiac surgery

Zaccaria Riccia,*, Stefano Morellia, Claudio Roncob, Angelo Politoa, Giulia V. Stazia, Chiara Giornia, Luca Di Chiaraa and Sergio Picardoa

a Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Hospital, Piazza S.Onofrio, 00100, Rome, Italy
b Department of Nephrology Dialysis and Transplantation, St Bortolo Hospital, Vicenza, Italy

*Corresponding author. Tel.: +39 06 6859 3333.

E-mail address: zaccaria.ricci{at}fastwebnet.it (Z. Ricci).

We describe the impact of cardiovascular pharmacologic support on peritoneal dialysis adequacy in 20 neonates who required postoperative renal replacement therapy following cardiopulmonary bypass exposure. Peritoneal dialysis was administered for 2.5 (2) days. Peritoneal dialysis creatinine clearance was 3.4 (2.1) ml/min/1.73 m2 and ultrafiltration rate was 9.75 (10) ml/h. Residual creatinine clearance was 31 (26) ml/min/1.73 m2. Peritoneal dialysis creatinine clearance appeared to be a function of dialysate flow up to 100 ml/h. No correlation was present between inotropes and vasopressors infusion and peritoneal dialysis creatinine clearance/ultrafiltration rate. LDH clearance was 0.59 (0.85) ml/min/1.73 m2 and it did not appear to have a correlation with dialysate flow. Patients in-hospital mortality was 20%, significantly higher than overall neonatal population admitted to our ICU (4.8%, P=0.02). Peritoneal dialysis in neonates allows optimal ultrafiltration rate and adequate small solute clearance, irrespective of hemodynamic status or vasopressor support.

Key Words: Peritoneal dialysis; Inotropic score; Congenital heart disease; Acute kidney injury

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 European Association for Cardio-thoracic Surgery