Related Experiment Video
Updated: Aug 16, 2026
07:11
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
[Chronic peritoneal dialysis in childhood]
Boletin Medico Del Hospital Infantil De Mexico
|May 1, 1981
Summary
Peritoneal dialysis, initially used for acute renal failure, has evolved for chronic uremia management. The continuous ambulatory peritoneal dialysis scheme offers significant rehabilitation potential for children with uremia.
Area of Science:
- Nephrology
- Medical Technology
Context:
- Peritoneal dialysis (PD) was first used in 1923 for acute renal failure but faced challenges due to infectious complications.
- The development of hemodialysis in the 1940s led to the adoption of peritoneal catheters, enabling PD for chronic uremia.
- Early PD involved intermittent hospital-based treatments managed by medical staff.
Purpose:
- To review the historical development and evolution of peritoneal dialysis.
- To highlight the transition from intermittent to continuous ambulatory peritoneal dialysis (CAPD).
- To assess the rehabilitation potential of PD, particularly CAPD, in pediatric uremia.
Summary:
- Peritoneal dialysis, initially hindered by infections, became viable for chronic uremia with improved catheter technology.
- Continuous ambulatory peritoneal dialysis (CAPD) involves patients performing 4-5 daily exchanges, reducing costs and improving patient autonomy.
- While peritonitis remains a risk, technical advancements have decreased its incidence.
Impact:
- CAPD offers significant rehabilitation potential for children suffering from uremia.
- Improvements in PD technology have made it a more accessible and effective treatment option.
- PD management has shifted towards patient-centered care, enhancing quality of life.
Related Concept Videos
01:27Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
01:30Peritoneal Dialysis I: Introduction and Procedure
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
01:25Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
01:20Acute Kidney Injury V: Interprofessional Care
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...