Dialysis procedure performed on 3-year-old boy
Mangaluru: A multidisciplinary team at Yenepoya Medical College Hospital, led by Dr Santhosh Pai, head of the department of nephrology, performed a Continuous Ambulatory Peritoneal Dialysis (CAPD) at the Yenepoya Medical College Hospital recently.
The procedure involved the surgical insertion of a tunneled soft Tenckhoff catheter into the abdomen, stated a release.
According to the hospital spokesperson, a three-year-old boy was admitted to the hospital with a critical condition, anuria, the complete absence of urine output, for a duration of ten days. The child presented with severe complications associated with acute renal failure, including altered sensorium, difficulty in breathing, anaemia, and metabolic acidosis.
The team led by Dr Pai and supported by Dr Adithya Mishra, Dr Haissam, and Dr Preema from the nephrology team, in collaboration with the paediatrics department led by Dr Sahana KS, along with Dr Shyam Sudhir, Dr Mithun HK, and Dr Asha, assessed the child's condition and promptly initiated peritoneal dialysis, a form of dialysis administered through the abdomen.
Paediatric surgeon Dr Suhith inserted the dialysis catheter, and the child underwent peritoneal dialysis for 12 days.
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Despite being anuric for the entire period and experiencing frequent and difficult-to-manage electrolyte imbalances, the child's renal function gradually began to improve.
On the 13th day, in light of the ongoing low urine output and continued need for dialysis, the team decided to initiate CAPD. In the following two weeks, the child's condition improved significantly, with a steady increase in urine output and better renal function parameters.
After a month of intensive care and close monitoring, the CAPD catheter was safely removed, and the child was discharged in good health, with normal urine output restored.
The child's parents expressed gratitude for the dedicated and compassionate care provided by the medical team. Dr Habib Rehaman AA, medical superintendent of Yenepoya Medical College Hospital, congratulated the team for successfully managing a rare and complex paediatric case.
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