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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
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Urgent-start peritoneal dialysis.
1Department of Nephrology, Cairns Hospital, Cairns, Queensland, Australia; Department of Nephrology, Gold Coast University Hospital, Southport, Queensland, Australia; Department of Intensive Care Medicine, Gold Coast University Hospital, Southport, Queensland, Australia.
Nefrologia
|December 14, 2022
Summary
Urgent-start peritoneal dialysis offers an effective and affordable alternative for patients needing immediate kidney replacement therapy. This approach, initiated within two weeks of catheter placement, addresses the underutilization of peritoneal dialysis.
Area of Science:
- Nephrology
- Renal Replacement Therapy
Background:
- Peritoneal dialysis is a crucial kidney replacement therapy.
- Haemodialysis is often the default for urgent dialysis needs, leading to underutilization of peritoneal dialysis.
- Urgent-start peritoneal dialysis (USPD) is defined as commencing treatment within 2 weeks of catheter insertion.
Purpose of the Study:
- To overview the rationale and practical application of urgent-start peritoneal dialysis.
- To highlight USPD as an efficacious and cost-effective alternative to conventional dialysis initiation.
Main Methods:
- Review of existing literature and clinical experience with USPD.
- Discussion of the practical aspects of implementing USPD.
Main Results:
- USPD is an effective and cost-efficient method for urgent dialysis initiation.
- Clinical experience with USPD is growing, despite limited evidence.
Conclusions:
- Urgent-start peritoneal dialysis is a viable and beneficial option for patients requiring immediate dialysis.
- Further evidence is needed, but increasing experience supports USPD adoption.
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