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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...
159
Peritoneal Dialysis III: Nursing Management01:25

Peritoneal Dialysis III: Nursing Management

221
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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Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

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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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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

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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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Dialysis01:27

Dialysis

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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...
656

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Historical Milestones in Peritoneal Dialysis.

Madhukar Misra1, Gautam M Phadke2

  • 1University of Missouri, Columbia, Missouri, USA, MisraM@health.missouri.edu.

Contributions to Nephrology
|September 27, 2021
PubMed
Summary
This summary is machine-generated.

Peritoneal dialysis (PD) has evolved significantly since its inception 250 years ago. Key advancements include understanding transport across the peritoneal membrane and improving PD techniques and infection management.

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Area of Science:

  • Nephrology
  • Medical Technology

Background:

  • Peritoneal dialysis (PD) was first described by George Ganter in humans for ascites treatment over 250 years ago.
  • The peritoneal cavity has been utilized therapeutically for centuries, with PD emerging as a significant treatment modality.

Purpose of the Study:

  • To chronicle the historical milestones in the field of peritoneal dialysis.
  • To highlight advancements in understanding peritoneal membrane transport, PD technology, and infection control.

Main Methods:

  • Historical review of peritoneal dialysis development.
  • Analysis of key research and technological innovations in PD.

Main Results:

  • Significant progress has been made in understanding solute and water transport across the peritoneal membrane.
  • Innovations in PD technique and technology have enhanced treatment efficacy and patient care.
  • Advances in preventing and treating PD-related infections have improved patient outcomes.

Conclusions:

  • Peritoneal dialysis has undergone substantial evolution over two and a half centuries.
  • Continued progress in understanding peritoneal physiology and technological development drives PD innovation.