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Year : 2022  |  Volume : 5  |  Issue : 1  |  Page : 49-51

Peritoneal dialysis via a central venous catheter in a Neonate with AKI

1 Department of Pediatrics, Eastern Regional Referral Hospital, Mongar, Bhutan
2 Department of Pediatrics, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan
3 UNC Kidney Center, University of North Carolina at Chapel Hill, North Carolina, USA

Correspondence Address:
Tashi Tshering
Department of Pediatrics, Eastern Regional Referral Hospital, Mongar
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajpn.ajpn_4_22

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At most centers, peritoneal dialysis (PD) is regarded as the optimal dialysis modality for neonates with acute kidney injury (AKI) who require kidney replacement therapy. Appropriately sized peritoneal catheters are not universally available in all countries and regions and are not currently available in Bhutan. We describe the successful use of a triple-lumen central venous catheter in an 18-day-old term infant with sepsis-related AKI and uremic encephalopathy. Considering the infant's deteriorating neurologic status and kidney function, the baby's fluid, electrolyte, and metabolic derangements were successfully managed by PD using a central venous catheter to access the peritoneal cavity. In regions where appropriately sized neonatal PD catheters are not available, a central venous catheter may be a useful alternative for short-term PD access.

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