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A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
[An 89-year-old man who underwent percutaneous peritoneal dialysis catheter placement and had peritoneal dialysis
Kazuya Sugita1,2,3, Noriyuki Suzuki1, Fumiaki Nogaki1
1Division of Nephrology, Shimada Municipal Hospital.
Insights
Peritoneal dialysis offers a less invasive option for elderly patients needing renal replacement therapy. Advanced remote monitoring systems enhance daily living and quality of life for these patients.
Area of Science:
- Nephrology
- Geriatrics
- Biomedical Engineering
Background:
- Increasing prevalence of elderly patients requiring renal replacement therapy.
- Hemodialysis presents significant cardiovascular stress and frequent hospital visit burdens.
- Peritoneal dialysis offers a less invasive alternative suitable for home care in elderly populations.
Observation:
- Peritoneal dialysis is well-suited for elderly patients due to its lower invasiveness and reduced hospital visit frequency.
- A cloud-based remote monitoring system enhances the utility of peritoneal dialysis for home care.
- Percutaneous catheter placement minimizes physical invasiveness for initiating peritoneal dialysis.
Findings:
- The Barthel Index improved from 0 pre-hospitalization to 65 at discharge in patients undergoing peritoneal dialysis.
- Peritoneal dialysis, particularly with remote monitoring, shows promise for managing elderly patients with renal failure.
- Minimally invasive catheter placement facilitates peritoneal dialysis initiation.
Implications:
- Peritoneal dialysis, enhanced by remote monitoring, can maintain or improve activities of daily living and quality of life in elderly patients.
- Future technological advancements in peritoneal dialysis are anticipated.
- This approach supports independent living and better health outcomes for aging populations with kidney disease.
Abstract:
The number of elderly patients requiring dialysis is continuously increasing. In Japan, many patients undergo hemodialysis; however, it has been associated with huge stress-mainly on the cardiovascular system-and requires frequent hospital visits. Conversely, peritoneal dialysis is much less invasive with a much lower frequency of hospital visits than that of hemodialysis; therefore, it is suitable for elderly patients. In addition, peritoneal dialysis, which originally had a high affinity for home care, has become more useful for elderly patients with renal failure thanks to the recent introduction of a cloud-based remote monitoring system at home. We performed percutaneous placement of a peritoneal dialysis catheter to reduce physical invasiveness and initiate peritoneal dialysis. The Barthel Index before hospitalization was 0 but increased to 65 at discharge. Further technology advancements in peritoneal dialysis are expected in the future. The cloud-based remote monitoring system is also expected to maintain or increase activities of daily living and the quality of life in elderly patients with renal failure with decreased activities of daily living.
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