Sánchez-Cisneros N

Language: Spanish
References: 10
Page: 105-108
PDF size: 112.56 Kb.

ABSTRACT

Introduction: Generally, Tenckhoff catheter is used for the dialysis peritoneal procedure. Its use has been observed in the intensive post-surgical care unit in pediatric patients with heart post-surgery; however, there is a scarcity of documented information regarding the indications of Tenckhoff catheter insertion and its utility in this kind of patients.
Objective: To identify the frequency of insertion and the utility of Tenckhoff catheter in the post-surgical period in patients with cardiac surgery.
Methodology: A review of 537 clinical charts of pediatric patients who were in post-surgery cardiac period was done during a year to analyze retrospectively the basis of indication and the utility of Tenckhoff catheter insertion.
Results: A Tenckhoff catheter was inserted in 9.1% of the studied patients (49 out of 537). The sample was made by 49 clinical charts; the most frequent indication was ascitis 60.5%, followed by pulmonary acute edema 19%, hydric overload 6%, metabolic acidosis 2%, and oligoanuria 12.5%. The utility of Tenckhoff catheter was 60.5% to drainage of ascitis fluid, 27% for acute dialysis, and 12% for dialysis with permanency of fluids in the peritoneal cavity.
Discussion: In the intensive postsurgical care unit, the Tenckhoff catheter is often indicated in case of ascitis, and it is mainly useful to drain fluid, without shun its use for peritoneal dialysis procedure.

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