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Published on: July 19, 2018
Peritoneal dialysis in acute renal failure.
Daniela Ponce Gabriel1, Ginivaldo Victor R Nascimento, Jacqueline Teixeira Caramori
1Department of Internal Medicine, University Hospital, Botucatu School of Medicine, UNESP, São Paulo, Brazil. dponcegabriel@uol.com.br
Renal Failure
|August 25, 2006
Summary
Peritoneal dialysis (PD) offers advantages for acute renal failure (ARF) patients but faces challenges. Further research is needed to re-evaluate PD adequacy in ARF using accepted standards.
Area of Science:
- Nephrology
- Renal Medicine
- Critical Care
Background:
- Adequate dialysis in acute renal failure (ARF) lacks consensus regarding timing, dose, and method.
- Peritoneal dialysis (PD) is increasingly replaced by continuous venovenous therapies in ARF.
- Nephrologist expertise and modality availability influence dialysis choices in ARF.
Purpose of the Study:
- To re-evaluate the adequacy of peritoneal dialysis (PD) in acute renal failure (ARF) patients.
- To address the limited literature and lack of consensus on PD in ARF.
- To highlight the need for new studies on PD quantification and patient catabolism in ARF.
Main Methods:
- Literature review on peritoneal dialysis (PD) and hemodialysis (HD) in acute renal failure (ARF).
- Analysis of PD advantages (simplicity, tolerance) and limitations (infection, protein loss, lower effectiveness).
- Discussion of controversies regarding PD use in hypercatabolic ARF patients.
Main Results:
- Peritoneal dialysis (PD) offers benefits like cardiovascular tolerance and absence of an extracorporeal circuit.
- PD has limitations including infection risk and lower solute clearance compared to daily HD.
- Concerns exist about PD's ability to control uremia in severe hypercatabolic ARF patients.
Conclusions:
- Peritoneal dialysis (PD) remains a viable, though underutilized, option for acute renal failure (ARF) patients.
- Further research is essential to establish adequate dialysis standards and quantify PD effectiveness in ARF.
- New studies are needed to resolve controversies and define optimal PD protocols for ARF management.
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