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Published on: July 20, 2022
Utilization of peritoneal dialysis in the acute setting
Daniela Ponce Gabriel1, Juan Fernández-Cean, André Luis Balbi
1Department of Internal Medicine, University Hospital, Botucatu School of Medicine, São Paulo State University (UNESP), Rubião Júnior, CEP 18618-970 São Paulo, SP, Brazil. dponcegabriel@uol.com.br
Summary
Peritoneal dialysis (PD) offers benefits beyond end-stage renal disease, proving effective for acute kidney injury and heart failure. It also serves as a crucial bridge therapy for hemodialysis patients facing vascular access issues.
Area of Science:
- Nephrology
- Cardiology
- Critical Care Medicine
Background:
- Peritoneal dialysis (PD) is primarily known for treating end-stage renal disease.
- Its application in acute clinical settings is less explored but shows promise.
Purpose of the Study:
- To explore the utility of peritoneal dialysis (PD) in acute renal failure, congestive heart failure, and as a bridge therapy for hemodialysis patients.
- To highlight the potential of PD in diverse clinical scenarios beyond chronic kidney disease.
Main Methods:
- Utilizing continuous PD with a cycler at high volume for acute renal failure patients.
- Applying PD for fluid removal in non-end-stage renal disease patients with congestive heart failure.
- Employing PD as a temporary measure for hemodialysis patients with vascular access challenges.
Main Results:
- Continuous PD in acute renal failure achieved adequate dialysis doses with good metabolic/electrolytic control and low complication rates.
- PD facilitated clinical improvement in congestive heart failure patients through gradual fluid removal.
- PD served as an effective bridge therapy, preventing central venous catheter use and associated infections in hemodialysis patients.
Conclusions:
- Peritoneal dialysis demonstrates significant versatility and efficacy in acute settings, including acute kidney injury and heart failure.
- PD presents a valuable alternative to traditional therapies, offering improved patient outcomes and reduced complication risks.
- Further research into novel indications for peritoneal dialysis is warranted to expand its therapeutic applications.
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