Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

8.5K
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...
8.5K
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

2.1K
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...
2.1K
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

1.6K
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...
1.6K
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

527
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...
527
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

4.0K
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...
4.0K
Dialysis01:27

Dialysis

2.2K
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...
2.2K

You might also read

Related Articles

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

Sort by
Same author

Population health management of diabetic kidney disease in Los Angeles county municipal health system.

Current opinion in nephrology and hypertension·2025
Same author

Provision of Temporary Access to Inpatient Hemodialysis to Uninsured Patients Initiating Hemodialysis.

JAMA network open·2025
Same author

Advancing Equitable Kidney Care Through Population Health Approaches in Los Angeles County's Safety Net System.

Clinical journal of the American Society of Nephrology : CJASN·2024
Same author

Peritoneal Dialysis Should Be Considered the First Option for Patients Requiring Urgent Start Dialysis: PRO.

Kidney360·2023
Same author

Urgent-start peritoneal dialysis: Association with outcomes.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2022
Same author

Policy and Pandemic: The Changing Practice of Nephrology During the Coronavirus Disease-2019 Outbreak.

Advances in chronic kidney disease·2020

Related Experiment Video

Updated: May 4, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.9K

Infrastructure requirements for an urgent-start peritoneal dialysis program.

Arshia Ghaffari1, Vijay Kumar, Steven Guest

  • 1Division of Nephrology,1 Keck School of Medicine, University of Southern California, Los Angeles, California;

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|December 17, 2013
PubMed
Summary

Patients nearing dialysis often start with temporary catheters, risking infection. Urgent-start peritoneal dialysis (PD) offers a feasible alternative, requiring specific programs for successful implementation.

Keywords:
Urgent initiationinfrastructureinterventional radiologyoutcomesprescriptionvascular access

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

3.1K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

1.4K

Related Experiment Videos

Last Updated: May 4, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.9K
Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

3.1K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

1.4K

Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Vascular Access

Background:

  • Advanced chronic kidney disease patients often initiate hemodialysis (HD) with temporary central venous catheters (CVCs) due to lack of pre-established access.
  • CVCs are linked to significant complication rates, including infection and flow issues, necessitating frequent replacements.
  • Many patients could be candidates for peritoneal dialysis (PD) but default to HD because of the absence of prior PD catheter placement.

Purpose of the Study:

  • To review the essential components and considerations for establishing an urgent-start peritoneal dialysis (PD) program.
  • To highlight the feasibility of initiating PD urgently, even with late referral for access placement.

Main Methods:

  • Review of recent reports and clinical experiences with urgent-start PD.
  • Discussion of the infrastructure and treatment approach required for urgent-start PD pathways.

Main Results:

  • Initiating PD urgently is feasible, offering an alternative to temporary CVCs for hemodialysis.
  • Urgent-start PD requires a specialized clinical pathway and dedicated infrastructure.

Conclusions:

  • Urgent-start PD programs can overcome the challenges associated with late referral and lack of pre-established access.
  • Implementing urgent-start PD requires a unique approach to infrastructure and patient management.
  • This strategy can potentially reduce reliance on temporary CVCs and their associated complications.