Afsheen Batool Raza, Nighat Sultana, Muhammad Haroon Hamid, Tahseen Fatima.
Experience of Peritoneal Dialysis in a Tertiary Care Pediatric Intensive Care Unit.
Pak Paed J Jan ;41(2):65-9.

Aims & Objectives: 1. To enumerate common diseases amongst children who required peritoneal dialysis in Pediatric Intensive Care Unit setting. 2. To determine frequency of complications of acute peritoneal dialysis in children. Patients and Methods: This was a descriptive case series conducted in Pediatric Intensive Care Unit of The Children’s Hospital and the Institute of Child Health Lahore, from July 2015 to March 2016. A total of 80 patients aged 1 month to 15 years who required peritoneal dialysis were enrolled. After taking parental consent, a pre designed proforma was filled for each patient by the investigator which included a detailed history, clinical examination and detail about peritoneal dialysis including indications, duration, complications and outcome. All the data was entered in to the SPSS-version 16 and results were analyzed in percentages. Results: Among 80 patients who required peritoneal dialysis, there were 42% females and 58% males. Majority of the patients, 68% were below 5 years. The common underlying diseases in which peritoneal dialysis was done included Acute kidney injury 51 (63.7%), followed by Inborn error of metabolism (IBEM) 14 (17.5%), DKA 11 (13.8%) and others 4 (5%). Complications of peritoneal dialysis were observed in 33 (41.25%) patients and amongst them, most common was peritonitis 13 (16.25%) followed by extravasation 12 (15%), inflow/outflow obstruction 4 (5%) and hemorrhage 4 (5%). While in 47 (58.8%), no complication was observed. Conclusion: Acute kidney injury was the commonest underlying cause in which peritoneal dialysis was done while peritonitis was the commonest complication observed. Acute peritoneal dialysis is a life saving procedure because of its simplicity and feasibility in the management of critically ill children. Sharing latest clinical experiences may encourage its use when other techniques are not available.

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