{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T17:30:42Z","timestamp":1746207042881,"version":"3.38.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T00:00:00Z","timestamp":1403481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> We aimed to determine whether infants undergoing cardiac surgery would more efficiently attain negative fluid balance postoperatively with passive peritoneal drainage as compared to traditional pleural drainage. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> A prospective, randomized study including children undergoing repair of tetralogy of Fallot (TOF) or atrioventricular septal defect (AVSD) was completed between September 2011 and June 2013. Patients were randomized to intraoperative placement of peritoneal catheter or right pleural tube in addition to the requisite mediastinal tube. The primary outcome measure was fluid balance at 48 hours postoperatively. Variables were compared using t tests or Fisher exact tests as appropriate. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 24 patients were enrolled (14 TOF and 10 AVSD), with 12 patients in each study group. Mean fluid balance at 48 hours was not significantly different between study groups, \u221241 \u00b1 53 mL\/kg in patients with periteonal drainage and \u22129 \u00b1 40 mL\/kg in patients with pleural drainage ( P = .10). At 72 hours however, postoperative fluid balance was significantly more negative with peritoneal drainage, \u221252.4 \u00b1 71.6 versus +2.0 \u00b1 50.6 ( P = .04). On subset analysis, fluid balance at 48 hours in patients with AVSD was more negative with peritoneal drainage as compared to pleural, \u221282 \u00b1 51 versus \u22121 \u00b1 38 mL\/kg, respectively ( P = .02). Fluid balance at 48 hours in patients with TOF was not significantly different between study groups. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Passive peritoneal drainage may more effectively facilitate negative fluid balance when compared to pleural drainage after pediatric cardiac surgery, although this benefit is not likely universal but rather dependent on the patient\u2019s underlying physiology. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2150135114537313","type":"journal-article","created":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T16:48:41Z","timestamp":1403542121000},"page":"413-420","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Peritoneal Drainage Versus Pleural Drainage After Pediatric Cardiac Surgery"],"prefix":"10.1177","volume":"5","author":[{"given":"Keshava Murty Narayana","family":"Gowda","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Critical Care, Wayne State University School of Medicine, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwan","family":"Zidan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Henry L.","family":"Walters","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Wayne State University School of Medicine, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph E.","family":"Delius","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiovascular Surgery, Wayne State University School of Medicine, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher W.","family":"Mastropietro","sequence":"additional","affiliation":[{"name":"Department 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,6,23]]},"reference":[{"key":"bibr1-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1016\/1010-7940(91)90174-I"},{"key":"bibr2-2150135114537313","doi-asserted-by":"publisher","DOI":"10.3109\/0886022X.2010.493980"},{"key":"bibr3-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e3182712799"},{"key":"bibr4-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000043"},{"key":"bibr5-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.10.009"},{"key":"bibr6-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01453-3"},{"key":"bibr7-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-004-2539-3"},{"key":"bibr8-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.04.030"},{"key":"bibr9-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2009.00323.x"},{"key":"bibr10-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12165"},{"key":"bibr11-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2011.05.037"},{"key":"bibr12-2150135114537313","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951113000693"},{"issue":"4","key":"bibr13-2150135114537313","first-page":"269","volume":"24","author":"Stromberg 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