Abstract
ABSTRACTBackgroundAcute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates. Peritoneal dialysis (PD) is the treatment modality but is seldom attempted in this patient population. We present a 40-day-old ELBW neonate previously operated for necrotizing enterocolitis with ileostomy who developed AKI. Peritoneal dialysis was started by a modifying intercostal drain.ResultsDoing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury.ConclusionPeritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications.Key messageChallenging technical problems in potentially fatal conditions sometimes respond to simple innovation. Initiation of early peritoneal dialysis in a sick ELBW with ileostomy and AKI helped saved her life.How to cite this articleKaul A, Jadhav K, Shah S. Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy. Indian J Crit Care Med 2019;23(5):232–233.
Highlights
Acute kidney injury (AKI) is a common complication in sick, extremely low birth weight (ELBW) neonates
Acute kidney injury is a known phenomenon in extremely low birth weight (ELBW) neonates
We report an ELBW with ileostomy who developed AKI due to fungal sepsis on whom we performed peritoneal dialysis using an innovative modification of the catheter
Summary
Peritoneal dialysis (PD) for acute kidney injury (AKI) of newborns has been performed safely and regularly. Acute kidney injury is a known phenomenon in extremely low birth weight (ELBW) neonates. Doing PD in ELBW neonates requires expertise. Probable delay in diagnosis and initiation of treatment makes prognosis poor for ELBW neonates with AKI. We report an ELBW with ileostomy who developed AKI due to fungal sepsis on whom we performed peritoneal dialysis using an innovative modification of the catheter
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