Abstract
In peritoneal dialysis (PD) for acute renal failure in neonates, fluid removal is a frequent problem. We have previously reported that good management of acute renal failure can be well managed using the method of continuous perfusion of dialysate while maintaining a small accumulation of perfusion liquid in the peritoneal cavity. However, when the flow rate on both the perfusion side and the drainage sides is controlled mechanically, it is difficult to constantly maintain a proper amount of perfusion fluid in the peritoneal cavity. We therefore tried a new method of PD in which perfusion is continuous while a uniform amount of perfusion fluid is consistently maintained in the peritoneal cavity, by elevating the drainage route somewhat. This procedure can be done with existing equipment, and continuous perfusion is possible while easily maintaining a more consistent accumulation level. There are no problems with the treatment even if a large amount of dialysate is perfused. Methods of PD for neonates still have room for improvement, so that even better treatment would seem possible.
