Introduction: Acute peritoneal dialysis is used for a short duration, after which chances of peritonitis get increase. While chronic i.e. continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) is used on a long-term basis. Using peritoneal dialysis as a treatment modality, patients are monitored regarding their clinical status. It is widely available and technically easy to perform, large amounts of fluid can be removed in hemodynamically unstable patients, and easy and gradual correction of acid-base and electrolyte imbalance may be performed. Peritoneal dialysis access placement is relatively easy, particularly in children. In the present study, we analyzed the clinical profile of all patients who underwent peritoneal dialysis for various reasons along with their complications and outcome. Methods: The present prospective observational study was carried out in the Pediatric intensive care unit in a tertiary care hospital amongst 48 cases presented as acute renal failure. In this study, we enrolled 48 patients presenting with acute renal failure or uremia. A detailed history was recorded regarding complaints, their onset, duration and progress, past history was noted. The outcome of the procedure was noted as improvement, whether complete or partial or death. Acute peritoneal dialysis was performed manually. Results: In this study, the most common age group affected was 1 – 4 years (33.33 %). Among 48 patients presenting with acute renal failure, the most common cases were due to urolithiasis (25 %), and patients with chronic renal failure constituted 14.58 % of the total cases. The most common indication of peritoneal dialysis was fluid overload in 66.67 %. In the present study, 18.75 % of patients required peritoneal dialysis for less than 60 hours while 81.25 % of patients underwent dialysis for more than 60 hours. In the present study, catheter malfunction (25.00 %) was the most common complication, followed by hypokalemia (20.83 %). In the present study, 47.92 % of patients had complete improvement, while 37.5 % had partial improvement. Conclusion: There was a significant reduction in the blood urea and creatinine levels along with normalization of serum potassium levels after the session of peritoneal dialysis. The outcome of pediatric peritoneal dialysis was good with a mortality of 12.5 % in the present study, cause of death mostly related to associated co-morbid systemic disorder.

Introduction: Acute peritoneal dialysis is used for a short duration, after which chances of peritonitis get increase. While chronic i.e. continuous ambulatory peritoneal dialysis (CAPD) and continuous cycling peritoneal dialysis (CCPD) is used on a long-term basis. Using peritoneal dialysis as a treatment modality, patients are monitored regarding their clinical status. It is widely available and technically easy to perform, large amounts of fluid can be removed in hemodynamically unstable patients, and easy and gradual correction of acid-base and electrolyte imbalance may be performed. Peritoneal dialysis access placement is relatively easy, particularly in children. In the present study, we analyzed the clinical profile of all patients who underwent peritoneal dialysis for various reasons along with their complications and outcome. Methods: The present prospective observational study was carried out in the Pediatric intensive care unit in a tertiary care hospital amongst 48 cases presented as acute renal failure. In this study, we enrolled 48 patients presenting with acute renal failure or uremia. A detailed history was recorded regarding complaints, their onset, duration and progress, past history was noted. The outcome of the procedure was noted as improvement, whether complete or partial or death. Acute peritoneal dialysis was performed manually. Results: In this study, the most common age group affected was 1 – 4 years (33.33 %). Among 48 patients presenting with acute renal failure, the most common cases were due to urolithiasis (25 %), and patients with chronic renal failure constituted 14.58 % of the total cases. The most common indication of peritoneal dialysis was fluid overload in 66.67 %. In the present study, 18.75 % of patients required peritoneal dialysis for less than 60 hours while 81.25 % of patients underwent dialysis for more than 60 hours. In the present study, catheter malfunction (25.00 %) was the most common complication, followed by hypokalemia (20.83 %). In the present study, 47.92 % of patients had complete improvement, while 37.5 % had partial improvement. Conclusion: There was a significant reduction in the blood urea and creatinine levels along with normalization of serum potassium levels after the session of peritoneal dialysis. The outcome of pediatric peritoneal dialysis was good with a mortality of 12.5 % in the present study, cause of death mostly related to associated co-morbid systemic disorder.