Peritoneal Dialysis in an Extremely Low Birth Weight Neonate with Ileostomy.

BACKGROUND

Acute 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.

RESULTS

Doing a simple procedure and using a few modifications helped the baby to come out of acute kidney injury.

CONCLUSION

Peritoneal dialysis can be technically quite challenging in ELBW neonates but is possible with certain innovative modifications.

KEY MESSAGE: Challenging 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 ARTICLE: Kaul 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.