RT Journal Article
SR Electronic
T1 Acute renal failure complicating cardiopulmonary bypass surgery.
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 425
OP 430
DO 10.1136/adc.57.6.425
VO 57
IS 6
A1 S P Rigden
A1 T M Barratt
A1 M J Dillon
A1 M De Leval
A1 J Stark
YR 1982
UL http://adc.bmj.com/content/57/6/425.abstract
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.