PT - JOURNAL ARTICLE AU - S P Rigden AU - T M Barratt AU - M J Dillon AU - M De Leval AU - J Stark TI - Acute renal failure complicating cardiopulmonary bypass surgery. AID - 10.1136/adc.57.6.425 DP - 1982 Jun 01 TA - Archives of Disease in Childhood PG - 425--430 VI - 57 IP - 6 4099 - http://adc.bmj.com/content/57/6/425.short 4100 - http://adc.bmj.com/content/57/6/425.full SO - Arch Dis Child1982 Jun 01; 57 AB - Acute renal failure developed in 24 (5.3%) of 456 children undergoing cardiopulmonary bypass surgery during a 2-year period. It was more common in younger children, in those with complex cardiac lesions, and in those with long overall bypass times. Fourteen (58%) recovered renal function; renal failure was responsible for death in only two. Early vigorous peritoneal dialysis is advocated after cardiopulmonary bypass surgery if there is oliguria (less than or equal to 1.0 ml urine/kg per hour) resistant to volume repletion, dopamine infusion and diuretics, intractable fluid overload, or hyperkalaemia.