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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

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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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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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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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Hemodialysis II: Procedure and Complications01:24

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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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Dialysis01:27

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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...
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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
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Related Experiment Video

Updated: Dec 11, 2025

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
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The Peritoneal Dialysis Transfer Set Replacement Procedure.

Irma Funes1, Katherine Velasquez1, Sheila Doss-McQuitty2,3,4,5

  • 1Former Center Manager, Satellite Healthcare, San Jose, CA.

Nephrology Nursing Journal : Journal of the American Nephrology Nurses' Association
|August 25, 2020
PubMed
Summary
This summary is machine-generated.

A new non-bag transfer set exchange procedure for peritoneal dialysis significantly reduces procedure time and costs compared to the standard bag method. This revised approach is safe, saving valuable nursing and patient time while lowering expenses.

Keywords:
end stage kidney diseasehome dialysisnephrology nursingperitoneal dialysistransfer set

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Area of Science:

  • Nephrology
  • Dialysis Technology
  • Patient Care Management

Background:

  • Peritoneal dialysis (PD) transfer sets require regular replacement (6-9 months) to prevent catheter complications.
  • Standard transfer set exchange procedures are time-consuming and costly for healthcare systems.

Purpose of the Study:

  • To compare a revised non-bag transfer set exchange procedure with the standard bag exchange procedure.
  • To evaluate differences in nursing time, procedural costs, and safety outcomes.

Main Methods:

  • A randomized controlled trial involving 33 participants undergoing peritoneal dialysis.
  • Participants were assigned to either a standard bag exchange procedure (n=16) or a revised non-bag exchange procedure (n=17).
  • Outcomes measured included procedure duration, cost, and incidence of peritonitis within 72 hours post-exchange.

Main Results:

  • The non-bag procedure took significantly less time (median 6 minutes) compared to the standard procedure (median 32 minutes) (p < 0.0001).
  • The non-bag procedure resulted in an average cost saving of $24.54 per exchange (37% reduction).
  • One episode of peritonitis occurred in each group within the follow-up period, indicating comparable safety.

Conclusions:

  • The revised non-bag transfer set replacement procedure is a safe alternative to the standard bag method.
  • This new procedure substantially reduces nursing time and associated healthcare costs.
  • Implementation of the non-bag procedure offers significant efficiency gains in peritoneal dialysis care.