Prophylactic Peritoneal Catheter Placement in Congenital Cardiac Surgery. Issue 3 (May 2022)

• Record Type: Journal Article
• Authors: Herbst, Claudia; Dworschak, Jan; Schlager, Gerald; Kahl, Béatrice; Zimpfer, Daniel
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 13:Issue 3(2022)
• Page Start: 376
• Page End: 378
• Publication Date: 2022-05
• Subjects: peritoneal catheter -- ascites drainage -- congenital heart surgery -- postoperative care -- fluid management; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/21501351221084668
• Languages: English
• ISSNs: 2150-1351

Abstract

The use of a peritoneal catheter in selected patients, in relation to the congenital heart defect and surgical procedure, may improve postoperative fluid balance and recovery. The peritoneal catheter allows to either drain ascites passively out of the peritoneal cavity or utilize cycles of peritoneal dialysis. However, potential benefits contrast with risk. This article provides a step-by-step guide on how to implant a peritoneal catheter in the operating room after cardiac surgery, or insert it at the bedside in the ICU, to minimize the risk of complications such as bowel perforation, herniation or omental adhesions.