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Articles

Title: The successful use of peritoneal drainage in neonates and infants with increasing ascites

Author:
Iwona Dąbrowska-Wójciak, Paweł Krajewski, Wojciech Sobala, Andrzej Piotrowski
Type:
Original articles
Language:
PL
Journal:
Pediatric Review
Year:
2005
Volume:
35
Number:
1
Start page:
23
Final page:
27
ISSN:
0137-723X
Keywords:
infant, sepsis, circulatory failure, liv er failure, ascites, peritoneal drainage
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Ascites is a rare phenomenon in neonates and infants. Fluid regime, diuretics and low sodium intake are typically used in its treatment. Methods. In our Pediatric Intensive Care Unit we treated 10 infants with ascites which developed as the result ofliver failure due to sepsis and/or circulatory insufficiency. All babies required mechanical ventilation with steadily increased parameters. We analyzed changes in ventilation caused by implementation of drainage. Results. Mean gestational age of infants was 31 hbd, mean birth weight 1417 g, and mean 1 min Apgar score 4.1 pts. Mean paracentesis time was the 40th day oflife, and the 12th day of sepsis. Mean volume of fluid drainedfrom the peritoneal cavity was 44 ml/kg/day, total volume 265 ml/kg. After 24 hours oftreatment we noticed a significant improvement ofgas exchange and we could significantly decrease parameters of mechanical ventilation: FiO2, peak inspiratory pressure, and ventilation rate. Six ofthe 10 affected patients survived.