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Updated: Jul 3, 2025

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
[The end of dialysis: the weariness to carry on]
Giorgio E Maccaferri1,2, Eleni Banava3, Lauren Duc1,3
1Unité de psychiatrie de liaison nord, Service de psychiatrie de l'adulte nord-ouest, Département de psychiatrie, Centre hospitalier universitaire vaudois et Université de Lausanne, 1005 Lausanne.
Abstract:
Voluntary cessation of hemodialysis is a common cause of death in dialysis patients, often occurring related to an alteration in their quality of life. At the same time, psychiatric disorders such as depression or anxiety are common and often underestimated among these patients, that accentuate the suffering and complicate compliance with dialysis. In this paper some psychopathological conditions will be addressed, as well as the question of the patient's ambivalence towards dialysis and the clinical and ethical dilemma of caregivers: respect the patient's choice to stop treatment or keep them alive at all costs? A multidisciplinary approach, including palliative care, is essential to support the reflection and make balanced decisions while respecting patient autonomy.
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