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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 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...
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...
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...
Dialysis01:27

Dialysis

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).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...

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Updated: Jun 10, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Peritoneal dialysis: an underutilized modality.

Sirin Jiwakanon1, Yi-Wen Chiu, Kamyar Kalantar-Zadeh

  • 1Los Angeles Biomedical Research Institute, Torrance, California, USA.

Current Opinion in Nephrology and Hypertension
|July 20, 2010
PubMed
Summary
This summary is machine-generated.

Peritoneal dialysis offers comparable survival and quality of life to hemodialysis for end-stage renal disease patients. Expanding its use could benefit patients and taxpayers, but requires gradual implementation and provider training.

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Last Updated: Jun 10, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Public Health

Background:

  • Dialysis modality choice impacts patient outcomes and healthcare economics.
  • Recent data suggest differential changes in outcomes between in-center hemodialysis and peritoneal dialysis.

Purpose of the Study:

  • To reevaluate the utilization of peritoneal dialysis in light of evolving patient outcomes.
  • To assess the current distribution and potential expansion of peritoneal dialysis in the United States.

Main Methods:

  • Review of accumulating evidence and recent patient cohorts.
  • Comparative analysis of survival rates and health-related quality of life between dialysis modalities.
  • Economic evaluation of peritoneal dialysis expansion.

Main Results:

  • US dialysis modality distribution does not align with patient preferences.
  • Five-year adjusted survival rates for hemodialysis and peritoneal dialysis are similar (35% and 33%, respectively).
  • Health-related quality of life is comparable between peritoneal dialysis and nocturnal hemodialysis patients; PD is economically favorable.

Conclusions:

  • Improved outcomes for peritoneal dialysis patients support expanding its use for end-stage renal disease.
  • An estimated 20-40% of end-stage renal disease patients could be treated with peritoneal dialysis.
  • Gradual expansion, provider training, and continuous outcome monitoring are crucial for successful implementation.