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Related Concept Videos

Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

350
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...
350
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

124
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

180
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...
180
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

341
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...
341
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

235
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this...
235
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

90
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
90

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Related Experiment Video

Updated: Sep 27, 2025

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
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Urgent Start Peritoneal Dialysis: A Population-Based Cohort Study.

Neelam M Bhalla1, Neiha Arora2, Jeanne A Darbinian3

  • 1Division of Nephrology, Kaiser Permanente Medical Center, Hayward, CA.

Kidney Medicine
|April 7, 2022
PubMed
Summary

Urgent start peritoneal dialysis (PD) shows high survival and retention rates at one year. This approach is a viable alternative to central venous catheters for urgent dialysis initiation in selected patients.

Keywords:
All-cause mortalityPD retentionmodality failureperitoneal dialysisurgent start PD

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Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Dialysis Modalities

Background:

  • Central venous catheter use for urgent dialysis initiation carries risks.
  • Urgent start peritoneal dialysis (PD) offers a potential alternative.
  • This study evaluates urgent start PD outcomes.

Purpose of the Study:

  • To assess clinical outcomes of urgent start PD.
  • To examine complications, mortality, and modality retention.
  • To compare urgent start PD with traditional methods.

Main Methods:

  • Retrospective cohort study.
  • 84 adult patients initiating urgent start PD.
  • Analysis of retention rates, complications, and mortality.

Main Results:

  • Major complications <5%; catheter malfunction in 6%.
  • Infectious complications (peritonitis, exit site infections) in 20%.
  • One-year survival 90.3%; PD retention 80%.

Conclusions:

  • Urgent start PD demonstrates high survival and retention rates at 1 year.
  • It is a viable and sustainable option for unplanned dialysis initiation.
  • Consider urgent start PD for selected patients to optimize care.