Die Peritonealdialyse in der Behandlung des postoperativen Herzversagens nach Korrektur komplexer Herzvitien bei Kleinkindern und Sauglingen. [Peritoneal dialysis in treatment of postoperative heart failure after correction of complex heart defects in young children and infants]

Détails

ID Serval
serval:BIB_461B8C3A0FD6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Die Peritonealdialyse in der Behandlung des postoperativen Herzversagens nach Korrektur komplexer Herzvitien bei Kleinkindern und Sauglingen. [Peritoneal dialysis in treatment of postoperative heart failure after correction of complex heart defects in young children and infants]
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Carrel  T., von Segesser  L. K., Niederhauser  U., Bauer  E., Laske  A., Schonbeck  M., Schmid  E. R., Turina  M.
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
01/1991
Volume
57
Numéro
4
Pages
563-9
Notes
English Abstract
Journal Article --- Old month value: Jan
Résumé
Low cardiac output can be encountered after corrective surgery for complex congenital malformation in children and infants and is often accompanied by an impairment of renal function, ascites, hyperosmolarity and hyperpyrexia. In most instances, combined afterload-reduction and inotropic stimulation will be effective. If low cardiac output persists, a peritonealdialysis (PD) may allow correction of fluid balance and consecutive improvement of hemodynamics. During a 18 month-period, PD was performed in 14 children in the postoperative period following major cardiac surgery (transposition 5, Fallot tetralogy 5, various complex anomalies 4). This represents 3.1% of all cardiac operations performed in children with congenital heart disease throughout the same period. There were 8 males and 6 females with a median age of 2.5 years (range 3 days to 4 years) and a median bodyweight of 5.5 kg (range 3.4 to 10 kg). Low cardiac output was defined when two or more of the following factors were met: mean arterial pressure (MAP) below 40 mm Hg despite inotropic stimulation, central venous pressure (CVP) over 15 mm Hg, urine production less than 1 ml/kg/hour and/or increasing transaminases. Before starting peritoneal dialysis all children received combined positive inotropic and vasodilative therapy. The PD-catheter was introduced 8 to 30 hours after operation. We used a PD-solution with 1.5% and/or 4.5% glucose. Fluid balance was monitored hourly. Just after introduction of the catheter a mean of 65 ml +/- 25 ml/kg ascites could be removed and the total quantity of removed fluid was 175 ml +/- 45 ml/kg bodyweight.(ABSTRACT TRUNCATED AT 250 WORDS)
Mots-clé
Blood Pressure/physiology Cardiac Output, Low/therapy Child, Preschool Female Heart Defects, Congenital/*surgery Heart Failure/*therapy Humans Infant Infant, Newborn Male Peritoneal Dialysis/*methods Postoperative Complications/*therapy
Pubmed
Web of science
Création de la notice
14/02/2008 15:17
Dernière modification de la notice
03/03/2018 16:47
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