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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

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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 II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

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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 III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

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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...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

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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 I: Introduction01:25

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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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Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

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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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Related Experiment Video

Updated: Apr 11, 2026

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
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[Assisted peritoneal dialysis].

Dragan Klarić, Ingrid Prkačin

    Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
    |May 28, 2015
    PubMed
    Summary

    Assisted peritoneal dialysis (PD) is a safe and effective renal replacement therapy (RRT) option, particularly for elderly patients with comorbidities. This study found assisted PD reduced peritonitis rates and improved treatment completion compared to unassisted PD.

    Area of Science:

    • Nephrology
    • Geriatric Medicine
    • Public Health

    Background:

    • Renal replacement therapy (RRT) incidence has declined, with transplantation favored but limited in elderly patients due to comorbidities.
    • Peritoneal dialysis (PD) remains a crucial RRT option, especially for patients unsuitable for transplantation.
    • Understanding PD outcomes in diverse patient groups is vital for optimizing RRT strategies.

    Purpose of the Study:

    • To analyze the outcomes of peritoneal dialysis (PD) in elderly patients over an eleven-year period.
    • To compare the effectiveness and safety of assisted versus unassisted PD in this population.
    • To identify factors influencing PD success and patient retention.

    Main Methods:

    • Retrospective analysis of 100 patients undergoing PD for end-stage renal disease over eleven years.

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  • Patients were categorized into assisted and unassisted groups based on support received during PD.
  • Outcomes assessed included treatment completion rates and peritonitis incidence.

    • Main Results:

    • Out of 100 patients, 77 completed PD treatment (26 assisted, 51 unassisted).
    • Peritonitis occurred in 20 assisted patients and 26 unassisted patients.
    • Unassisted patients experienced higher peritonitis rates and were more likely to be lost from PD therapy.

    Conclusions:

    • Assisted peritoneal dialysis (PD) demonstrates a good and safe profile for elderly patients with comorbidities.
    • Patient assistance significantly reduces peritonitis risk and improves PD treatment adherence.
    • Optimizing support structures for PD patients can enhance RRT outcomes and patient retention.