Effectiveness of Peritoneal Dialysis in Management of Acute Hyperthermia after On-Pump Heart Surgery in Infants
Journal Title: Trends Journal of Sciences Research - Year 2019, Vol 4, Issue 1
Abstract
Introduction: Acute hyperthermia is a common complication in the first 24 hours after open heart surgery with the incidence of 12% to 73%. The aim of this study was to evaluate the efficiency of postoperative peritoneal dialysis for controlling acute hyperthermia in pediatrics undergoing on-pump heart surgery. Methods: We reviewed clinical outcomes of 40 infants who underwent congenital surgery from August 2016 to August 2017. Patients were divided into two groups in terms of peritoneal dialysis requirement as group A and B. Demographic data, intraoperative and postoperative variables were compared between the patients. Results: Among the 40 high risk infants who underwent cardiac surgery, 20 patients were treated with peritoneal dialysis (group A). Mean rectal temperature and incidence of acute hyperthermia in 24h after surgery were higher in group A compared to group B (p ˂ 0.05). Infants in group A were younger, lighter and showed lower BSA compare to group B (p < 0.05). Also, higher concentration of serum potassium and lower urinary output were seen in group A compared to group B (p = 0.05). The incidence of neurological events was significantly higher in patients of group A (p < 0.05). Intubation time and intensive care unit stay was significantly more prolonged in the group A with peritoneal dialysis (p ˂ 0.05). Conclusion: Peritoneal dialysis performance was effective in treatment of induced hyperthermia in the first 24 h after operation. Indeed, younger age and lighter weight children are more prone to postoperative complication related to cardiopulmonary bypass surgery.
Authors and Affiliations
Hamid Bigdelian, Mohsen Sedighi
Keywords
Related Articles
- EP ID EP438280
- DOI 10.31586/CriticalCare.0401.02
- Views 82
- Downloads 0
Bioactivity - Structure. Interrelation of Electronic and Information Factors of Biologically Activity of Chemical Compounds
The biological activity of chemical compounds is analyzed using electronic and information factors. We found a linear interrelation between the electronic and information factors of molecules. Moreover, these molecular f...
Study on the Relationship between Yogurt Packages, Drinking Methods and Residues and the Countermeasures
The aim of the study was to evaluate the relationship between different yogurt packages, drinking methods, and residues and the countermeasures. We chose 7 of the most common yogurt packages in the Chinese market, calcul...
On the Possible Anomaly of Asymmetric Weight Reduction of Gyroscopes under Rotation
In this work, we discuss a theoretical model that can describe novel phenomena of induction of weak anomalous forces in gyroscopes under right rotations either in rest frame of the laboratory or in free-fall. The effect...
Evolutionary Dynamics of Intercoupling of the Chemical Elements in Plants and Primary Soil-Forming Processes
We present the results of a comprehensive long-term experiment on intensive cultivation of wheat and tomato plants to initially abiogenous mineral substrate. The experiment simulates the primary processes of soil formati...
Chemical and Biological Properties of Sodium Alginates Isolated from Tow Brown Algae Dictyopteris Membranaceae and Padina Pavonica
Polysaccharides are known to have interesting biological activities. To date polysaccharides extracted from Tunisian seaweed have not been fully studied. In this paper we tried to isolate sodium alginate from two brown a...