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[Peritoneal dialysis in children]

M Fischbach1

  • 1Service de pédiatrie I, hôpital de Hautepierre, Strasbourg, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Continuous peritoneal dialysis (PD) is now a widely used home treatment for children, even infants. Objective methods improve PD prescription, but ongoing support is crucial for families undergoing home dialysis.

Area of Science:

  • Pediatric Nephrology
  • Renal Replacement Therapy
  • Home Healthcare

Context:

  • Continuous peritoneal dialysis (PD) has seen significant advancements and increased application in pediatric patients.
  • The technique is adaptable for home care settings, including for infants.
  • Historically, PD prescription was empirical, but has evolved with objective assessment methods.

Purpose:

  • To describe the evolution and current state of continuous peritoneal dialysis in children.
  • To highlight objective approaches for optimizing PD prescription, including dwell volume, pressure monitoring, and dialysis adequacy.
  • To underscore the challenges and support systems required for pediatric home dialysis.

Summary:

  • Modern peritoneal dialysis (PD) prescription for children utilizes objective measures like intraperitoneal pressure for tolerance and APEX time for dialysis adequacy (ultrafiltration, purification).

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  • This approach has refined the empirical methods previously used, improving treatment efficacy.
  • The focus is on optimizing dwell volume and dwell time for better outcomes in pediatric PD.

    • Impact:

    • Improved management and outcomes for children requiring dialysis, enabling home-based care.
    • Enhanced understanding of objective parameters for tailoring PD therapy to pediatric needs.
    • Highlights the critical need for comprehensive family and medical team support in pediatric home dialysis programs.