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Peritoneal Dialysis I: Introduction and Procedure

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...

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

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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...

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

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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...

Peritoneal Dialysis III: Nursing Management

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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...

Dialysis

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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
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Updated: Jun 12, 2026

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

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

Published on: July 19, 2018

Peritoneal dialysis without a physical peritoneal dialysis unit.

E I Grapsa¹, S Klimopoulos, P Tseke

¹Renal Unit, Alexandra Hospital, Athens, Greece. grapse@otenet.gr

Clinical Nephrology

|May 26, 2010

Summary

This study demonstrates successful peritoneal dialysis (PD) for patients lacking a physical unit, using trained nurses and home-based training. Results show high technique survival and patient survival, encouraging PD provision in resource-limited settings.

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Area of Science:

Nephrology
Renal Replacement Therapy

Background:

Peritoneal dialysis (PD) is crucial for patients with kidney failure.
Access to PD units and staff can be a limitation in certain healthcare settings.

Purpose of the Study:

To describe the feasibility and outcomes of providing PD to patients without a dedicated physical PD unit.
To evaluate an alternative model for PD delivery in resource-constrained environments.

Main Methods:

Retrospective analysis of 33 patients trained for PD between 1997 and 2004.
Catheter implantation performed as an outpatient procedure.
Training provided by company-supplied nurses, transitioning to home-based training after 2004.

Main Results:

Successful catheter implantation in all 33 patients.
Low peritonitis rate (0.18 episodes/patient year).
High technique survival (96% at 1 year, 90% at 2 years) and patient survival (90% at 1 year, 55% at 3 years).

Conclusions:

Peritoneal dialysis can be effectively provided even without a physical PD unit.
This approach encourages PD adoption in settings with limited infrastructure.
Home-based training and external nursing support are viable alternatives.