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Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...

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Related Experiment Video

Updated: Jun 15, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

[Peritoneal dialysis in the elderly].

M Ounissi1, Taïele Ben Abdallah, E Abderrahim

  • 1Service de Mèdecine interne A, Hôpital Charles Nicolle de Tunis, Tunisie.

La Tunisie Medicale
|March 10, 2010
PubMed
Summary

Peritoneal dialysis (PD) is effective for elderly patients with end-stage renal disease, though cardiovascular diseases and infections pose significant risks. Patient survival is better than technique survival, highlighting the need for robust support systems.

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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Last Updated: Jun 15, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Area of Science:

  • Nephrology
  • Geriatrics
  • Internal Medicine

Context:

  • Peritoneal dialysis (PD) is increasingly utilized for end-stage renal disease (ESRD) in patients over 65.
  • Elderly patients often present with comorbidities such as malnutrition, cardiovascular issues, and infections, impacting PD outcomes.
  • Diabetic and vascular nephropathies are primary causes of ESRD in this demographic.

Purpose:

  • To evaluate the epidemiological and clinical profile of elderly patients undergoing PD.
  • To assess the indications, advantages, complications, prognostic factors, and survival rates associated with PD in older adults.
  • To analyze the survival of both patients and the PD technique in this population.

Summary:

  • A retrospective study of 13 patients over 65 treated with PD revealed it was a first-line treatment for over half.
  • Cardiovascular complications and infections were frequent, contributing to high morbidity and mortality.
  • Patient survival at 1 and 5 years was 92.8% and 60.8%, respectively, while technique survival was lower (88.3% at 1 year, 33.7% at 5 years).
  • A significant correlation was found between patient survival and PD modality, but not with age or sex.

Impact:

  • PD can be a viable first-line treatment for elderly ESRD patients, with family and nursing support crucial for adherence.
  • Cardiovascular diseases and infections are major contributors to mortality in this group.
  • The study highlights a disparity between patient survival and PD technique survival, underscoring the need for careful management and support.