Successful Peritoneal Dialysis in an Extremely Preterm Infant.

Huh,  Jisun; Hwang,  Jihye; Lee,  Eun Hee; Boo,  Yoon Jung; Choi,  Byung Min; Hong,  Young Sook

doi:2016.23.3.158

Neonatal Med > Volume 23(3); 2016 > Article

Case Report

Neonatal Medicine 2016;23(3):158-162.
DOI: https://doi.org/10.5385/nm.2016.23.3.158 Published online August 31, 2016.

Successful Peritoneal Dialysis in an Extremely Preterm Infant.

Jisun Huh, Jihye Hwang, Eun Hee Lee, Yoon Jung Boo, Byung Min Choi, Young Sook Hong

¹Department of Pediatrics, Korea University College of Medicine, Seoul, Korea. neoleeeh@gmail.com
²Division of Pediatric Surgery, Department of Surgery, Korea University College of Medicine, Seoul, Korea.

Abstract

Peritoneal dialysis can be considered renal supportive therapy, even in an extremely low birth weight infant with acute kidney injury not responding to general supportive measures. Although there have been several reports of successful peritoneal dialysis in extremely low birth weight infants, general practice guidelines and commercially available optimal peritoneal dialysis catheters have not been introduced. We report a successful case of peritoneal dialysis in an extremely low birth weight infant born at 25 weeks gestational age, with birth weight 790 g, with uncontrollable metabolic acidosis, hyperkalemia, progressive azotemia and continued anuria.

Key Words: Acute kidney injury; Peritoneal dialysis; Infant; Extremely low birth weight