Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

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 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 III: Nursing Management

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 Complications

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,...

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

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...

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Unexpected Reduction in Glucose Ultrafiltration Associated to a Continuously "Full Abdomen" Prescription After Introducing a Long Icodextrin Dwell: A Case Series.

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia·2026

Same author

Results of a new model of videotraining for patients and caregivers for peritoneal dialysis: food for (AI) thought?

Journal of nephrology·2026

Same author

Transforming chronic kidney disease care with telemedicine: expert consensus recommendations from the Italian Society of Nephrology.

Journal of nephrology·2026

Same author

Controversial Aspects of Peritoneal Dialysis in Italy. Results of the First National Audit of PD.

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia·2025

Same author

Peritoneal Dialysis in Italy: the 9th GPDP-SIN Census 2024. Twenty Years of Monitoring Peritoneal Dialysis.

Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia·2025

Same author

Reduced intensity incremental hemodialysis start does not decrease life expectancy and saves money: results of the RIDDLE study.

Journal of nephrology·2025

Search research articles

Related Experiment Video

Updated: May 20, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

[Incremental peritoneal dialysis - conclusions].

Giusto Viglino¹

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

Giornale Italiano Di Nefrologia : Organo Ufficiale Della Societa Italiana Di Nefrologia

|July 31, 2012

Summary

Incremental peritoneal dialysis (Incr-PD) achieves dialysis adequacy without compromising quality of life. This approach, increasingly used in Italy, supports PD initiation and patient well-being.

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

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

Related Experiment Videos

Last Updated: May 20, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

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

Area of Science:

Nephrology
Renal Replacement Therapy

Context:

Incremental peritoneal dialysis (Incr-PD) is increasingly utilized in Italy, with usage rising from 29.2% in 2005 to 50% in 2010.
Centers using Incr-PD show significantly higher overall peritoneal dialysis (PD) utilization rates (27.5% vs. 21.4%).

Purpose:

To evaluate the role and outcomes of incremental peritoneal dialysis (Incr-PD) in achieving dialysis adequacy.
To assess the impact of Incr-PD on patient quality of life and PD treatment choice.

Summary:

Dialysis adequacy, defined as a minimum Kt/V target of 1.70, is achievable with Incr-PD, distinguishing it from early dialysis initiation.
While clinical results are not significantly different from full-dose PD, Incr-PD may encourage PD selection and improve quality of life.
Frequent monitoring of residual renal function (RRF) is crucial for dose adjustment, and dialysate collection is essential for measuring dialysis adequacy.

Impact:

Incr-PD facilitates achieving guideline-recommended dialysis adequacy and ultrafiltration targets without underdialysis risk.
This approach may enhance patient quality of life and support the choice of PD as a dialysis modality.
Accurate monitoring of RRF and dialysate is vital for optimizing PD treatment effectiveness.