A Neonatal improvised peritoneal dialysis in Ethiopia: A case report

Abstract

Acute Kidney Injury (AKI) is a common complication in sick neonates admitted to the Neonatal Intensive care Unit (NICU). On the management of neonates with AKI often we try only conservative management due to a shortage of experience in peritoneal dialysis in this group of patients. Here we report a neonate who had AKI secondary to neonatal hypernatremic dehydration. We used a 6Fr feeding tube as a PD catheter, mixed IV fluids as dialysate and IV perfuser to quantify and regulate the inflow. After 4 days of the PD, the neonates started to have urine output, and PD was discontinued. Neonate was discharged home improved and was thriving well with normal renal function tests on follow up. In conclusion, improvised peritoneal dialysis can be an option for management in neonatal AKI when medical management fails in low-resource settings.