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. 2014 Dec;7(6):582-5.
doi: 10.1093/ckj/sfu095. Epub 2014 Sep 11.

Peritoneal dialysis in an extremely low-birth-weight infant with acute kidney injury

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Peritoneal dialysis in an extremely low-birth-weight infant with acute kidney injury

Lyndsay A Harshman et al. Clin Kidney J. 2014 Dec.

Abstract

Critically ill neonates are at high risk for acute kidney injury (AKI). Renal supportive therapy (RST) can be an important tool for supporting critically ill neonates with AKI, particularly in cases of oliguria and fluid overload. There are few reports of RST for management of oligo-anuric AKI in the extremely low-birth-weight infant weighing <1000 g. We report successful provision of peritoneal dialysis (PD) to an 830-g neonate with oligo-anuric AKI through adaptation of a standard pediatric acute PD catheter.

Keywords: acute kidney injury; extremely low-birth-weight infant; peritoneal dialysis; renal supportive therapy.

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Figures

Fig. 1.
Fig. 1.
(a) AP X-ray demonstrating PD catheter placement coursing from the left upper quadrant into the left paracolic gutter. (b) Lateral X-ray demonstrating PD catheter placement coursing from the left upper quadrant into the left paracolic gutter.
Fig. 2.
Fig. 2.
Photograph of PD catheter placement.

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