J Korean Pediatr Soc.  2000 Sep;43(9):1207-1212.

Significance of Postoperative Peritoneal Drainage and Peritoneal Dialys is in Infants with congenital Heart Disease Who Underwent Open Heart Srugery

• Choi JH
• Oh JH
• Yoon HS
• Choi JB
• Choi SH

Abstract

PURPOSE: We reviewed 5 years worth of experience with peritoneal drainage and dialysis in infants who underwent open heart surgery. The aim of this study was to investigate the effect of peritoneal drainage and peritoneal dialysis on fluid balance and several parameters of intensive care.
METHODS
Six(10%) of 60 consecutive infants who underwent open heart surgery required peritoneal dialysis during peritoneal drainage. Simple peritoneal drainage was performed in the remaining 54 infants. The silicone rubber peritoneal dialysis catheter was inserted into the center of abdominal cavity just after operation, and subsequent peritoneal drainage was maintained during intensive care.
RESULTS
Mean age of the study group was 0.48+/-0.21 years(M: F=32: 28). Early postoperative mortality amang the infants with congenital heart disease was 1.6%. Total amount of output was 7.0+/-2.28mL/kg/hr, urine output 5.14+/-2.9lmL/kg/hr, pleural fluid 0.80+/-0.5lmL/kg/hr, and peritoneal fluid 1.20+/-0.90mL/kg/hr. The ratio of output to intake(O/I) was 1.06. None of the complications required early termination of peritoneal drainage or peritoneal dialysis. Hemodynamics and pulmonary function were maintained steadily during postoperative intensive care.
CONCLUSION
The early institution of peritoneal drainage and peritoneal dialysis in infants with congenital heart disease after cardiac operations not only removes fluid, thus easing fluid restriction, but may also improve cardiopulmonary function.

Keyword

Peritoneal dialysis; Open heart surgery

MeSH Terms

Abdominal Cavity
Ascitic Fluid
Catheters
Dialysis
Drainage*
Heart Defects, Congenital*
Heart*
Hemodynamics
Humans
Infant*
Critical Care
Mortality
Peritoneal Dialysis
Silicone Elastomers
Thoracic Surgery
Water-Electrolyte Balance
Silicone Elastomers