Online first
Case report
Published online: 2024-01-23

open access

Page views 124
Article views/downloads 73
Get Citation

Connect on Social Media

Connect on Social Media

The ethical dilemma of initiating ambulatory peritoneal dialysis in a preterm neonate: an unusual experience

Prashanth RR1, Sruthi Nair1, Radhika Raman2, Anitha Haribalakrishna1

Abstract

This study reports on a male 35-week preterm neonate who was diagnosed with chronic kidney disease and referred for renal replacement therapy on day 10 of life. The ethical dilemma of deferring a lifesaving intervention was weighed against the best interest of the neonate and the family. By comparing the experiences in the current case to those reported previously, the authors present further insight into this challenging scenario faced by neonatologists.

Article available in PDF format

View PDF Download PDF file

References

  1. Rees L. The dilemmas surrounding the decision to start chronic dialysis in the neonate. Kidney Int. 2014; 86(1): 18–20.
  2. Mohanty N. Neonatal palliative care. J Pediatrics Assoc India. 2017; 6(3): 134–139.
  3. Lantos JD, Warady BA. The evolving ethics of infant dialysis. Pediatr Nephrol. 2013; 28(10): 1943–1947.
  4. Teh JC, Frieling ML, Sienna JL, et al. Attitudes of caregivers to management of end-stage renal disease in infants. Perit Dial Int. 2011; 31(4): 459–465.
  5. Zurowska AM, Fischbach M, Watson AR, et al. European Paediatric Dialysis Working Group. Clinical practice recommendations for the care of infants with stage 5 chronic kidney disease (CKD5). Pediatr Nephrol. 2013; 28(9): 1739–1748.
  6. Rees L. Renal replacement therapies in neonates: issues and ethics. Semin Fetal Neonatal Med. 2017; 22(2): 104–108.



Palliative Medicine in Practice