All issues > Volume 43(9); 2000

Original Article

J Korean Pediatr Soc. 2000;43(9):1207-1212. Published online September 15, 2000.

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

Ji-Hwan JH Choi¹, Jae-Hwa JH Oh¹, Hyang-Suk HS Yoon¹, Jong-Bum JB Choi², Soon-Ho SH Choi²

¹Department of Pediatrics, Wonkwang University School of Medicine, Iksan, Korea
²Department of Thoracic and Cardiovascular Surgery, Wonkwang University School of Medicine, Iksan, Korea

Correspondence Hyang-Suk HS Yoon ,Email: yhe0520@wmc.wonkwang.ac.kr

Abstract

Purpose
: We reviewed 5 years worth of experience with peritoneal drainage and dialiysis 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 on balance and several paramenters od 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¡¾0.21 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¡¾2.28mL/kg/hr, urine output 5.14¡¾2.91mL/kg/hr, pleural fluid 0.80¡¾0.51mL/kg/hr, and peritoneal fluid 1.20¡¾0.90mL/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. Hermodynamics and pulmonary function were maintained steadily during postoperative intensive care.
Conclusion
: The early institution of peritoneal drainage and peritoneal dialysis in infants with congential heart disease after cardiac operations not only removes fluid, thus easing fluid restrictions, but may also improve cardiopulmonary function.

Keywords :Peritoneal dialtsis, Open heart surgery