PERITONEAL-DIALYSIS IN CHILDREN AFTER CARDIOPULMONARY BYPASS

Objective: We reviewed 5 years' experience with peritoneal dialysis in children with acute renal failure after cardiac operations, We hypoth esized that peritoneal dialysis is safe and effective in children with low-output cardiac failure after cardiac operations. Results: Mortali ty in these patients with renal failure (n = 32) was 46.9%. Fluid remo ved by peritoneal dialysis was 48 +/- 28 ml/kg per 24 hours, Most comp lications of peritoneal dialysis were minor, hyperglycemia being the m ost frequent (53.1%). Peritoneal infection was suspected in 25%, Bowel perforation developed in two patients. None of the complications requ ired early termination of dialysis. Hemodynamics and pulmonary functio n improved continuously during the study period. Conclusion: The early institution of peritoneal dialysis in acute renal failure and low car diac output after cardiac operations not only removes fluid, thus easi ng fluid restriction, but may also improve cardiopulmonary function.