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Multiple use of cycler set in cycler peritoneal dialysis
N K Wadhwa1, T Cabralda, H Suh
1Dept. of Medicine, State University of New York, Stony Brook.
Summary
Multiple use of cycler sets for peritoneal dialysis (PD) is safe and economical. This approach reduced disposable supplies by 62% and saved nursing time in end-stage renal disease (ESRD) patients.
Area of Science:
- Nephrology
- Medical Devices
- Healthcare Economics
Background:
- Peritoneal dialysis (PD) is a common treatment for end-stage renal disease (ESRD).
- Cycler-assisted PD requires specialized equipment, including cycler sets.
- The cost and waste associated with disposable supplies are significant concerns in PD.
Purpose of the Study:
- To evaluate the safety and economic viability of reusing cycler sets with universal connectors in PD.
- To assess the impact of multiple uses on disposable supply reduction and nursing time.
Main Methods:
- The study involved reusing cycler sets for 2-3 treatments (16-24 hours each) using Pac-X or Pac-Xtra cyclers.
- Patients undergoing PD were disconnected and reconnected as needed, with the same cycler set maintained.
- Data were collected from 204 ESRD patients over a two-year period at a tertiary-referral university hospital.
Main Results:
- A total of 2491 cycler PD treatments were performed using 940 cycler tubing sets.
- Multiple disconnections (1624 in-between, 336 for procedures) were managed without peritonitis or mechanical failure.
- Multiple use of cycler sets led to a 62% reduction in sets used, decreasing disposable supplies and saving nursing time.
Conclusions:
- The multiple use of cycler sets with universal connectors is a safe and economical practice for patients undergoing cycler PD.
- This strategy significantly reduces costs associated with disposable supplies and optimizes nursing resource allocation.
- The findings support the adoption of reusable cycler sets in hospital-based PD settings.