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|Title: ||Peritoneal Dialysis Using Improvised Pd Catheter and Self-Constituted Dialysis Solution|
|Authors: ||Antwi, Sampson|
|Issue Date: ||4-Aug-2010|
|Abstract: ||Objectives and Study: Acute renal failure is a potentially reversible condition if the appropriate intervention is instituted in a timely manner. In developing countries, however, many children die from ARF largely due to lack of facilities for dialysis. But peritoneal dialysis (PD) is a simple procedure that only requires the instillation into the peritoneum of solution containing the appropriate substances in their right concentrations. In this report, I share my experience of performing acute PD using improvised PD catheter and self-constituted PD solution.
Methods: A 1-year old girl was referred to our hospital after failing to pass urine for 1 week despite fluid and diuretic challenge. She had been admitted with fever, decreased urine output and startling attack.
On arrival, an in-situ urinary catheter only had scanty, concentrated urine limited to catheter lumen.
Acute PD was performed using size 12 thoracic trocar catheter and self-constituted PD fluid.
Results: For 31 days on admission, urine output remained < 0.15ml/kg/hr. The PD functioned effectively over the 31-day period with significant improvement in the biochemical parameters.
Conclusion: Acute PD can still be performed in areas where traditional PD catheters and solutions are not available.|
|Description: ||Article presented at the fifteenth Congress of the Int. Pediatric Nephrology Association, New York, August 29, 2010.|
|Appears in Collections:||College of Health Sciences|
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