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Pulmonary functions during peritoneal dialysis

M Ahluwalia, S Ishikawa, M Gellman

    Clinical Nephrology
    |November 1, 1982
    PubMed
    Summary
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    Peritoneal dialysis with 2 liters of dialyzate temporarily decreased lung volumes like functional residual capacity (FRC), residual volume (RV), and total lung capacity (TLC). However, gas exchange and pulmonary functions remained unaffected during this common dialysis procedure.

    Area of Science:

    • Pulmonary Physiology
    • Nephrology
    • Critical Care Medicine

    Background:

    • Peritoneal dialysis (PD) is a vital renal replacement therapy.
    • The impact of dialysate volume on pulmonary function requires clarification.
    • Understanding respiratory effects is crucial for patient safety during PD.

    Purpose of the Study:

    • To assess the effects of a 2-liter dialysate volume on pulmonary function tests.
    • To evaluate the impact of dialysate instillation and removal on gas exchange during PD.

    Main Methods:

    • Group I (7 patients): Measured lung volumes (FRC, RV, TLC), flows, and flow-volume loops before, during (2L dialysate), and after PD.
    • Group II (8 patients): Analyzed arterial blood gases (PaO2, PaCO2, pHa) at the same three time points.

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  • Statistical analysis compared measurements across different phases of the PD cycle.

    • Main Results:

    • A significant decrease in functional residual capacity (FRC), residual volume (RV), and total lung capacity (TLC) was observed with 2L dialysate.
    • These lung volumes returned to baseline after dialysate removal.
    • No significant changes in PaO2, PaCO2, or pHa were detected throughout the study.

    Conclusions:

    • A 2-liter dialysate volume causes minor, transient reductions in FRC, RV, and TLC during peritoneal dialysis.
    • Gas exchange and overall pulmonary function are not deleteriously affected by this dialysate volume.
    • The findings support the safety of using 2L dialysate in PD regarding respiratory parameters.