Ahead of Print
Case report
Published online: 2024-01-23
The ethical dilemma of initiating ambulatory peritoneal dialysis in a preterm neonate: an unusual experience
DOI: 10.5603/pmp.98669
Abstract
We report 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, we present further insight into this challenging scenario faced by neonatologists.
Keywords: neonatal renal replacementethicsneonatal palliative carepretermneonate
References
- Rees L. The dilemmas surrounding the decision to start chronic dialysis in the neonate. Kidney Int. 2014; 86(1): 18–20.
- Mohanty N. Neonatal palliative care. J Pediatrics Assoc India. 2017; 6(3): 134–139.
- Lantos JD, Warady BA. The evolving ethics of infant dialysis. Pediatr Nephrol. 2013; 28(10): 1943–1947.
- 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.
- 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.
- Rees L. Renal replacement therapies in neonates: issues and ethics. Semin Fetal Neonatal Med. 2017; 22(2): 104–108.
