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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

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Remote Patient Management in Automated Peritoneal Dialysis: A Promising New Tool.

Valérie Jotterand Drepper¹, Pierre-Yves Martin², Catherine Stoermann Chopard²

¹Department of Nephrology, Geneva University Hospital, Geneva, Switzerland Valerie.JotterandDrepper@hcuge.ch.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis

|January 10, 2018

Summary

Remote patient management (RPM) systems can detect early issues in automated peritoneal dialysis (APD). This case study shows RPM identifying catheter displacement and adherence problems, improving patient care.

Keywords:

2-way cloud-based connectivity platform Home-based dialysis

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Area of Science:

Nephrology
Medical Technology

Background:

End-stage kidney disease necessitates renal replacement therapy.
Automated peritoneal dialysis (APD) is a treatment option.
Remote patient management (RPM) offers potential for early issue detection.

Observation:

A 23-year-old patient with end-stage kidney disease initiated APD.
A cloud-based APD RPM system was implemented with pre-defined alerts.
The system flagged prolonged drain times, indicating catheter displacement.

Findings:

Catheter repositioning resolved the drain time issue, confirmed by RPM data.
The RPM system identified <90% adherence to prescribed therapy.
Clinical staff required time to effectively utilize the RPM system's features.

Implications:

RPM systems can aid in early detection of APD complications like catheter displacement and poor adherence.
Healthcare providers need training to optimize RPM tool utilization.
Further studies are needed to assess RPM's impact on APD technique survival and resource use.