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Related Concept Videos

Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

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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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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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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...
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Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

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

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

48
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 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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Factors affecting intraperitoneal pressure (IPP) and its prognostic value in predicting leak risk and gastrointestinal symptoms in adult peritoneal dialysis patients: a systematic review and meta-analysis.

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A novel programme of supportive two-exchange assisted continuous ambulatory peritoneal dialysis for frail patients with end-stage kidney disease.

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Updated: Jul 29, 2025

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
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Home dialysis therapies.

Richard W Corbett1

  • 1Imperial College Healthcare NHS Trust, London, UK richard.corbett@imperial.ac.uk.

Clinical Medicine (London, England)
|May 26, 2023
PubMed
Summary

Home dialysis therapies like peritoneal dialysis (PD) and home hemodialysis significantly improve patient quality of life and autonomy. Advances in PD and new machines are boosting home dialysis options, addressing global variations in availability.

Area of Science:

  • Nephrology
  • Renal Replacement Therapy
  • Patient-Centered Care

Background:

  • Home dialysis therapies, including peritoneal dialysis (PD) and home hemodialysis, offer superior quality of life and autonomy compared to in-centre hemodialysis.
  • Significant global disparities exist in the availability of PD and home hemodialysis.
  • The UK has recommended a minimum 20% rate of home dialysis for prevalent patients.

Purpose of the Study:

  • To review advances in home dialysis therapies.
  • To highlight the benefits of home dialysis concerning patient quality of life and autonomy.
  • To address the variation in home dialysis availability and its implications.

Main Methods:

  • Review of recent advancements in peritoneal dialysis (PD) prescribing and assisted dialysis.
Keywords:
dialysis technologyhome dialysishome haemodialysisperitoneal dialysisperitonitis

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  • Discussion of novel small dialysis machine developments for home hemodialysis.
  • Analysis of peritonitis as a complication in PD and its management.

    • Main Results:

    • Home dialysis therapies demonstrably enhance patient quality of life and autonomy.
    • Key advancements in PD include improved prescription approaches and assisted dialysis options.
    • New small dialysis machines are driving renewed interest in home hemodialysis.

    Conclusions:

    • Home dialysis represents a significant improvement over in-centre hemodialysis for patient well-being.
    • Addressing unwarranted variation in home dialysis availability is crucial.
    • Continued innovation in PD and home hemodialysis technology is expanding patient options.