The anuric preterm newborn infant with a normal renal ultrasound: a diagnostic and ethical challenge

Prenatal Diagnosis
Dan WaismanAvi Rotschild

Abstract

Diagnosis and treatment of an anuric premature infant with severe respiratory compromise and a normal renal ultrasound (US), is a difficult task that requires a multidisciplinary approach. A 29-week gestation premature male infant, born after 5 weeks of worsening oligohydramnios, was ventilated for respiratory distress and remained anuric. Intensive clinical investigations and pediatric nephrology consultation that predicted very poor prognosis were followed by progressive renal failure, electrolyte imbalance, respiratory failure, ventricular arrhythmia, and finally cardiac arrest and death on day 5. In view of the predicted poor outcome, and after discussion with the parents, a decision was made not to start peritoneal dialysis (PD), and to offer only palliative therapy, with comfort care alone. Pre and postnatal diagnosis lead, in this case, to an ethical challenge that focuses on the question of futility.

References

Jul 15, 1992·American Journal of Medical Genetics·J E AllansonC Jimenez
Jan 1, 1989·American Journal of Medical Genetics·A E SwinfordJ V Higgins
Sep 1, 1983·American Journal of Medical Genetics·J E AllansonP M MacLeod
Jul 1, 1994·British Journal of Obstetrics and Gynaecology·M J NewbouldA J Barson
Nov 1, 1995·Pediatric Pathology & Laboratory Medicine : Journal of the Society for Pediatric Pathology, Affiliated with the International Paediatric Pathology Association·I ArielE Rosenmann
Dec 16, 1998·Pediatric and Developmental Pathology : the Official Journal of the Society for Pediatric Pathology and the Paediatric Pathology Society·J S JohalC E Oyer
Jul 21, 1999·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·B E Al-HermiD F Geary
Apr 25, 2000·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·D LandauE Zmora
Jul 27, 2000·The New England Journal of Medicine·P R HelftJ Lantos
Oct 24, 2000·Nursing Outlook·A B Hamric
Jan 17, 2002·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·A HumarJ S Najarian
Aug 29, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Lesley Rees
Jun 18, 2004·Seminars in Perinatology·Sharon Phillips Andreoli

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Citations

May 16, 2006·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·F Bouissou

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