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Continuous ambulatory peritoneal dialysis and pulmonary function

H Thieler, E Riedel, W Pielesch

Proceedings of the European Dialysis and Transplant Association. European Dialysis and Transplant Association

|January 1, 1980

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Continuous peritoneal dialysis (CPD) causes mild ventilatory restriction in end-stage renal disease patients. However, significant breathing problems are unlikely unless patients have existing respiratory or abdominal conditions.

Area of Science:

Nephrology
Pulmonology
Medical Physiology

Background:

End-stage renal disease (ESRD) necessitates renal replacement therapy.
Continuous peritoneal dialysis (CPD) is a common treatment for ESRD.
The impact of peritoneal dialysis fluid on respiratory function requires investigation.

Purpose of the Study:

To assess the effects of peritoneal dialysis fluid on ventilatory function in ESRD patients.
To quantify changes in lung volumes, compliance, and blood oxygen levels during CPD.

Main Methods:

Investigated 10 ESRD patients undergoing CPD.
Utilized spirography, compliance tests, body plethysmography, and blood oxygen analysis.
Compared ventilatory function with an empty abdomen versus abdomen filled with 2L of dialysis solution.

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Main Results:

Mild ventilatory restriction observed: vital capacity decreased by 3.5% and thoracic gas volume by 7.9%.
Slight reductions in static and dynamic absolute compliance (-8.8% and -6.2%, respectively).
No significant changes in specific compliance, bronchial obstruction parameters (Tiffeneau test), or blood oxygen levels in patients without respiratory illness.

Conclusions:

CPD with 2L of dialysis solution causes only minor ventilatory impairment in ESRD patients without pulmonary disease.
Potential for respiratory complications exists in patients with pre-existing lung conditions or abdominal space-occupying issues, such as polycystic renal disease.