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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...
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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...
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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...
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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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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Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...

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Twenty years of experience of incremental peritoneal dialysis in Italy.

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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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[Incremental peritoneal dialysis - yes].

Loris Neri1

  • 1S.O.C. Nefrologia, Dialisi e Nutrizione Clinica, Ospedale San Lazzaro, Alba (CN), Italy. lneri@aslcn2.it

Giornale Italiano Di Nefrologia : Organo Ufficiale Della Societa Italiana Di Nefrologia
|July 31, 2012
PubMed
Summary

Incremental peritoneal dialysis (Incr-DP) meets adequacy targets and improves quality of life. This approach may preserve renal function and reduce peritonitis risk, supporting its use in dialysis patients.

Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Dialysis Adequacy

Context:

  • Peritoneal dialysis (PD) adequacy is defined by combined dialysis and renal clearance.
  • Incremental PD (Incr-DP) utilizes a lower dialysis frequency.
  • Current guidelines recommend a minimum Kt/V target of 1.70.

Purpose:

  • To evaluate the efficacy and benefits of incremental peritoneal dialysis (Incr-DP).
  • To assess if Incr-DP meets dialysis adequacy targets.
  • To explore the impact of Incr-DP on quality of life and renal function.

Summary:

  • Incremental PD, including incremental CAPD and APD, can exceed minimum Kt/V targets, especially with a glomerular filtration rate of 6 mL/min.
  • Studies suggest Incr-DP is associated with better quality of life, adequate ultrafiltration, and maintained nutritional status.

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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  • Medium molecule clearance is comparable to full-dose PD, while residual renal function preservation is similar, and peritonitis rates may be lower.

    • Impact:

    • Incr-DP offers a viable alternative for PD patients, potentially improving patient well-being.
    • Reduced glucose load in Incr-DP may contribute to better patient outcomes.
    • Findings support Incr-DP use, aligning with guidelines emphasizing reduced glucose exposure and enhanced quality of life.