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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...
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,...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
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...

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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Perceived barriers to guidelines in peritoneal dialysis.

Nathan Allen1, Daniel Schwartz, Amy R Sood

  • 1University of Manitoba, Winnipeg, MB, Canada.

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
|October 21, 2010
PubMed
Summary

Barriers to evidence-based medicine (EBM) and quality indicators in peritoneal dialysis (PD) practice vary internationally. Lower adherence links to less healthcare spending, no personal digital assistant (PDA) use, more experience, and smaller PD centers.

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Area of Science:

  • Nephrology
  • Quality Improvement
  • Evidence-Based Medicine

Background:

  • Barriers to guideline adherence in nephrology are not well understood.
  • This study identifies perceived barriers to evidence-based medicine (EBM) and continuous quality indicators (CQI) among international peritoneal dialysis (PD) practitioners.

Purpose of the Study:

  • To identify perceived barriers to EBM and CQI in PD practice.
  • To explore factors influencing guideline adherence in a global PD cohort.

Main Methods:

  • An online survey was distributed to 475 physicians providing PD care via the Nephrology Now mailing list.
  • Ordinal logistic regression analyzed relationships between physician/practice characteristics and EBM/CQI practices.

Main Results:

  • Most participants were nephrologists (89.7%), with 50.4% in academic centers, representing diverse global regions.
  • Strong adherence to PD guidelines was observed, but lower adherence correlated with lower national healthcare expenditure, lack of personal digital assistant (PDA) use, longer physician experience, and smaller PD practice size (<20 patients/center).

Conclusions:

  • International variations in PD guideline adherence are influenced by national healthcare expenditure, physician's use of technology (PDA), experience level, and practice size.
  • These factors may necessitate tailored approaches for future guideline development and implementation in peritoneal dialysis.