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Updated: Jun 27, 2025
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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion
Published on: May 23, 2025
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[Palliative and Supportive Dialysis: Current Practices and Recommendations for Best Clinical Practice]
Maria Cristina Pinerolo de Septis1, Elena Alberghini1, Marina Cornacchiari1
1Gruppo di Lavoro sulle Cure Palliative in Nefrologia, sezione Lombardia della Società Italiana di Nefrologia.
Summary
Palliative dialysis offers renal replacement therapy for patients in critical illness and end-of-life stages. This approach focuses on tailored dialysis, supportive care, and shared decision-making to improve quality of life and reduce burdens.
Area of Science:
- Nephrology
- Palliative Care
- Renal Replacement Therapy
Context:
- Dialysis management for critically ill patients requires tailored approaches.
- Standard dialysis may not be suitable for patients with comorbidities or poor prognosis.
- Integrating supportive care is crucial for patients undergoing dialysis.
Purpose:
- To summarize nephrological recommendations and evidence for palliative dialysis.
- To propose tools for good clinical practice in palliative dialysis.
- To provide a framework for managing frail patients on dialysis.
Summary:
- Palliative dialysis is renal replacement therapy for patients in critical illness and end-of-life stages.
- It involves targeted dialysis prescriptions, supportive care, and shared decision-making.
- The goal is to reduce dialysis burden, improve quality of life, and control symptoms.
Impact:
- Aims to reduce dialysis burden and improve quality of life for frail patients.
- Seeks to decrease hospitalization rates during the end-of-life stage.
- Promotes a home-centered care approach and better symptom management.
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