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Continuous ambulatory peritoneal dialysis.

R P Popovich, J W Moncrief, K D Nolph

    Annals of Internal Medicine
    |April 1, 1978
    PubMed
    Summary
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    Continuous ambulatory peritoneal dialysis (CAPD) offers effective, portable dialysis with good chemistry control and fluid removal. While peritonitis occurs periodically, it responds well to treatment, making CAPD an attractive option.

    Area of Science:

    • Nephrology
    • Internal Medicine
    • Dialysis Technology

    Background:

    • Continuous ambulatory peritoneal dialysis (CAPD) is an internal dialysis technique.
    • Evaluating CAPD's efficacy and safety is crucial for patient management.

    Purpose of the Study:

    • Assess CAPD for serum chemistry control.
    • Evaluate adequate sodium and water removal.
    • Determine tolerable protein losses.
    • Investigate peritonitis prevalence and treatment response.

    Main Methods:

    • Continuous ambulatory peritoneal dialysis (CAPD) was evaluated in nine patients.
    • Study duration was 136 patient weeks.
    • Key parameters included serum chemistries, fluid balance, protein loss, and peritonitis incidence.

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    Main Results:

    • CAPD demonstrated effective ambulatory, portable dialysis.
    • Larger-solute clearances were significantly higher than hemodialysis.
    • Small-solute clearances were comparable to other dialysis methods.
    • Edema was controlled, and protein losses were tolerable with adequate intake.
    • Peritonitis occurred every 10 weeks on average, responding promptly to therapy.

    Conclusions:

    • Continuous ambulatory peritoneal dialysis (CAPD) is an effective dialysis technique.
    • Potential for improved solute clearance and patient mobility.
    • Reducing peritonitis incidence could enhance CAPD's attractiveness.