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Peritoneal Dialysis as Treatment for Acute Kidney Injury (AKI)

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Pediatric Dialysis Case Studies
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Abstract

A 2-year-old African boy presented with fever, acute gastroenteritis and shock as a result of malaria-associated sepsis. He subsequently developed acute kidney injury (AKI) with symptomatic hyperkalaemia, not responsive to fluid resuscitation and conservative therapy. Acute peritoneal dialysis (PD) was commenced using a bedside catheter insertion technique, making use of a chest drain as a PD catheter and ‘home-made’ dialysis fluid. He was dialysed for 36 h and made a spontaneous recovery with return of kidney function prior to discharge.

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References

  1. Dellinger RP. The surviving sepsis campaign: where have we been and where are we going? Cleve Clin J Med. 2015;82(4):237–44.

    Article  PubMed  Google Scholar 

  2. Maitland K, Kiguli S, Opoka RO, Engoru C, Olupot-Olupot P, Akech SO, Nyeko R, Mtove G, Reyburn H, Lang T, Brent B, Evans JA, Tibenderana JK, Crawley J, Russell EC, Levin M, Babiker AG, Gibb DM, FEAST Trial Group. Mortality after fluid bolus in African children with severe infection. N Engl J Med. 2011;364(26):2483–95.

    Article  CAS  PubMed  Google Scholar 

  3. Duke T. Elizabeth Mason WHO guidelines on fluid resuscitation in children with shock. Lancet. 2014;383(9915):411–2.

    Article  PubMed  Google Scholar 

  4. Axelrod DM, Anglemyer AT, Sherman-Levine SF, Zhu A, Grimm PC, Roth SJ, Sutherland SM. Initial experience using aminophylline to improve renal dysfunction in the pediatric cardiovascular ICU. Pediatr Crit Care Med. 2014;15(1):21–7.

    Article  PubMed  Google Scholar 

  5. Chadha V, Warady BA, Blowey DL, Simckes AM. Alon US.; Tenckhoff catheters prove superior to cook catheters in pediatric acute peritoneal dialysis. Am J Kidney Dis. 2000;35(6):1111–6.

    Article  CAS  PubMed  Google Scholar 

  6. Cullis B, Abdelraheem M, Abrahams G, Balbi A, Cruz DN, Frishberg Y, Koch V, McCulloch M, Numanoglu A, Nourse P, Pecoits-Filho R, Ponce D, Warady B, Yeates K, Finkelstein FO. Peritoneal dialysis for acute kidney injury. Perit Dial Int. 2014;34(5):494–517.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Auron A, Warady BA, Simon S, Blowey DL, Srivastava T, Musharaf G, Alon US. Use of the multipurpose drainage catheter for the provision of acute peritoneal dialysis in infants and children. Am J Kidney Dis. 2007;49(5):650–5.

    Article  PubMed  Google Scholar 

Additional Resources

  • Callegari J, Antwi S, Wystrychowski G, Zukowska-Szczechowska E, Levin NW, Carter M. Peritoneal dialysis as a mode of treatment for acute kidney injury in sub-Saharan Africa. Blood Purif. 2013;36(3–4):226–30.

    Article  PubMed  Google Scholar 

  • Esezobor CI, Ladapo TA, Lesi FE. Peritoneal dialysis for children with acute kidney injury in Lagos, Nigeria: experience with adaptations. Perit Dial Int. 2014;34(5):534–8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smoyer WE, Finkelstein FO, McCulloch M, Carter M, Brusselmans A, Feehally J. Saving Young Lives: provision of acute dialysis in low-resource settings. Lancet. 2015;386(10008):2056.

    Article  PubMed  Google Scholar 

  • Smoyer WE, Finkelstein FO, McCulloch MI, Carter M, Brusselmans A, Feehally J. “Saving Young Lives” with acute kidney injury: the challenge of acute dialysis in low-resource settings. Kidney Int. 2016;89(2):254–6.

    Article  PubMed  Google Scholar 

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Correspondence to Mignon I. McCulloch .

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McCulloch, M.I. (2017). Peritoneal Dialysis as Treatment for Acute Kidney Injury (AKI). In: Warady, B., Schaefer, F., Alexander, S. (eds) Pediatric Dialysis Case Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-55147-0_35

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  • DOI: https://doi.org/10.1007/978-3-319-55147-0_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55145-6

  • Online ISBN: 978-3-319-55147-0

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