Peritoneal Dialysis Access
Also covered as: severe acute kidney injury · congenital heart disease · bladder outlet obstruction · chronic kidney disease · oligohydramnios · posterior urethral valves · anuria · pneumothorax
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Medical Management
2 items
Managing Advanced Chronic Kidney Disease: Cincinnati Fetal Center
Watch →
Dr. Foong-Yen Lim introduces the session topics of discussion, the challenges of neonatal dialysis, the pathway of renal transplantation, and pulmonary survivor qualifications. Dr. Paul Kingma, Neonatal Director, Cincinnati Fetal Center, di
video35:10 · Nov 2018
Fetal management of advanced chronic kidney disease: Fetal Genitourinary...
Watch →
Dr. Foong-Yen Lim introduces the challenges of neonatal dialysis, the pathway of renal transplantation, and pulmonary survivor qualifications. Dr. Paul Kingma discusses the pulmonary survivor odds based upon amniotic fluid status and postna
video34:05 · Jan 2019
Surgical Management
2 items
Renal transplantation: Cincinnati Fetal Center
Watch →
Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re im
video13:51 · Nov 2018
Renal transplantation: Fetal Genitourinary Disease 2015
Watch →
Dr. Maria Alonso, Intestinal Transplant Surgeon, presents on renal transplantations. She discusses general surgical needs, gastrostomy tube, peritoneal dialysis catheter, hemodialysis catheter, extra peritoneal approach, extra vesicle re-im
video13:44 · Jan 2019
Evidence & Research
6 items
Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery
Watch →
New article you should know by Dr. Alex Halpern
"Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery: A Systematic Review and Meta-Analysis"
Authors: Siva P Namachivayam, Suvikrom Law, Johnn
video0:47 · Sep 2023
Quick Literature Updates Episode 13
Watch →
We’re back with thirteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video4:12 · Nov 2023
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in th
Watch →
Grant Chappell, Darren Turner, Amir Mehdizadeh-Shrifi, David Lehenbauer, Marco Ricci, Meghan M Chlebowski, Stuart L Goldstein, Awais Ashfaq, David L S Morales
Hemodialysis after infant congenital heart surgery (CHS) for acute kidney injury
video0:53 · May 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
Watch →
This video highlights a recent PubMed article on hemodialysis outcomes in infants following congenital heart surgery (CHS). It reveals that approximately 1% of infants undergoing CHS develop severe acute kidney injury requiring dialysis, wi
video0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery in the
Watch →
This video discusses a PubMed article on dialysis outcomes for infants undergoing congenital heart surgery. It highlights that about 1% of these infants develop severe acute kidney injury requiring dialysis, with a one-year survival rate of
video0:53 · Jun 2026
Practice Patterns and Outcomes of Hemodialysis in Infants Undergoing Congenital Heart Surgery...
Watch →
Lizzy Lee from Cincinnati Children's discusses a study on hemodialysis outcomes in infants after congenital heart surgery (CHS). Approximately 1% of infants undergoing CHS develop severe acute kidney injury (AKI) requiring dialysis, with a
video0:53 · Jun 2026
In-Depth Reviews
1 item
PDC 2020 Practice Gaps
Watch →
This clip from the 2020 Pediatric Surgery Update Course features Elizabeth Beierle, MD, Erik Skarsgard, MD, and Robert Cusick, MD presenting 2020’s practice gaps as identified by the American Pediatric Surgical Association’s (APSA) Professi
video83:26 · Sep 2020
Summaries and takeaways+ Show
Summary of this collection+ Show
Key points, with the moment each was said+ Show
Featured picks for families are being prepared — the summaries above are written for you.
Takeaways+ Show
The doctors in this collection+ Show
All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Early Peritoneal Dialysis and Postoperative Outcomes in Infants After Pediatric Cardiac Surgery
Dr. Dudike and his team performed a systematic review and meta-analysis on early peritoneal dialysis after pediatric cardiac surgery
clinicalAlex Halpern0:14 ↗
Five studies were included in the meta-analysis
clinicalAlex Halpern0:19 ↗
Early initiation of peritoneal dialysis was associated with decreased postoperative mortality
clinicalAlex Halpern0:24 ↗
Early initiation of peritoneal dialysis shortened duration of mechanical ventilation
clinicalAlex Halpern0:30 ↗
Early initiation of peritoneal dialysis shortened length of stay in the ICU
clinicalAlex Halpern0:30 ↗
Early initiation of peritoneal dialysis may benefit infants after pediatric cardiac surgery
opinionAlex Halpern0:30 ↗
PDC 2020 Practice Gaps
In the last 40 years, the prevalence of obesity has gone to over 18% of children
epidemiologicalLiz Byerly6:39 ↗
Kids who are obese and who are getting therapy for DVT require closer monitoring of their enoxaparin levels because they can have altered drug metabolism
clinicalLiz Byerly7:24 ↗
ESPGHAN and European counterparts recommend endoscopy following esophageal atresia repair whenever anti-reflux medications are stopped
guidelineLiz Byerly10:38 ↗
ESPGHAN recommends screening endoscopy at 10 years of age for esophageal atresia patients, whether or not they're on anti-reflux medications
guidelineLiz Byerly11:02 ↗
ESPGHAN recommends screening endoscopy in early adulthood for esophageal atresia patients
guidelineLiz Byerly11:10 ↗
Adults with esophageal atresia should have screening endoscopy every 5 to 10 years
guidelineLiz Byerly11:15 ↗
A significant number of esophageal atresia patients will have esophageal metaplasia or Barrett's esophagus, and symptoms often do not correlate with pathology
clinicalLiz Byerly11:22 ↗
Studies from the Netherlands and Finland showed increased risk of esophageal cancer in esophageal atresia patients
epidemiologicalLiz Byerly12:00 ↗
Gas embolus during laparoscopy occurs in approximately 28% of cases based on a survey of pediatric surgeons
epidemiologicalLiz Byerly16:38 ↗
Gas embolus during laparoscopy is thought to occur because the baby has a patent ductus and patent umbilical vein
clinicalLiz Byerly16:58 ↗
End-tidal CO2 is the most sensitive detector of gas embolism during laparoscopic surgery
clinicalLiz Byerly17:14 ↗
Insufflation tubing contains a significant amount of air with nitrogen, which is not soluble in blood unlike carbon dioxide
clinicalLiz Byerly17:33 ↗
Prevention strategies for gas embolus include turning gas on and flushing tubing before connecting to decrease nitrogen delivery
clinicalLiz Byerly19:09 ↗
On thromboelastography, R time represents the time for clot to start, and if abnormal, the patient needs FFP
clinicalLiz Byerly27:03 ↗
On TEG, alpha angle represents speed of fibrin accumulation, and if abnormal, administer cryoprecipitate
clinicalLiz Byerly27:19 ↗
On TEG, maximum amplitude represents maximum clot strength, and if weak with adequate platelet count, patient may need DDAVP
clinicalLiz Byerly27:34 ↗
On TEG, LY30 measures lysis at 30 minutes, and if abnormal indicates excessive fibrinolysis requiring aminocaproic acid or tranexamic acid
clinicalLiz Byerly28:13 ↗
Canadian CDH Collaborative readiness criteria include normal blood pressure for age, adequate urine output, and reasonable serum lactate reflecting organ perfusion
guidelineEric Skarsgard37:49 ↗
CDH readiness criteria include FiO2 ideally less than 50% and preductal saturation around 90%
guidelineEric Skarsgard38:07 ↗
For CDH, pulmonary artery pressures should be less than systemic pressures before surgery, ideally showing a downward trend
guidelineEric Skarsgard38:20 ↗
Surgery is a stressor on the pulmonary vascular bed in CDH patients
clinicalEric Skarsgard38:34 ↗
For CDH with predominantly right ventricular dysfunction, treatment options include nitric oxide, sildenafil, and PGE1 to maintain ductus patency
clinicalEric Skarsgard39:47 ↗
In CDH, if left ventricle has failed, the baby needs veno-arterial ECMO support
clinicalEric Skarsgard40:28 ↗
Improvements in CDH care are based on what happens outside the operating room, not what happens in the operating room
opinionEric Skarsgard35:50 ↗
What's new+ Show