Abstract
Dialysed infants are sometimes characterized by a hyperpermeable peritoneal state. In this situation decreasing dwell time and/or increasing dialysate tonicity are usually proposed to achieve adequate ultrafiltration (UF). We have investigated UF capacity under different peritoneal dialysis modalities in three infants. UF was not obtained with isotonic continuous ambulatory peritoneal dialysis (CAPD), and was only achieved with short dwell times and hypertonic CAPD. For the prescription of automated peritoneal dialysis, a shorter dwell time of hourly sequences is needed, which consequently decreases the phosphate diffusion time. Continuous cycling peritoneal dialysis with sequences of 1 h allowed efficient UF [UF/glucose absorption (UF/G) 4.2±0.9] but the dialysate/plasma (D/P) phosphate ratio was low (0.47±0.12). In contrast, tidal peritoneal dialysis gave a better UF/G ratio (6.8±0.7) without a decrease in the D/P phosphate ratio (0.64±0.18).
References
Twardowski LJ (1989) New approaches to intermittent peritoneal dialysis therapies. In: Nolph KD (ed) Peritoneal dialysis. Kluwer, Boston, pp 146–148
Verger C, Larpent L, Veniez G, Brunetot N, Corvaisier B (1991) L'Apex...... description et utilisation (1991). Bull Dial Périton 1: 36–40
Fischbach M, Mengus L, Birmele B, Hamel G, Simeoni U, Geisert J (1991) Peritoneal dialysate/plasma equilibration curves, crossing time for urea and glucose; a function of age in children. Adv Periton Dial 7: 262–265
Schaefer F, Langenbeck D, Heckert KH, Schärer K, Mehls O (1992) Evaluation of peritoneal solute transfer by the peritoneal equilibration test in children. Adv Periton Dial 8: 410–415
Morgenstern BZ (1993) Equilibration testing close but not quite right. Pediatr Nephrol 7: 290–291
Reznick VM, Lorr EJ, Collins CM, Griswold WR, Peterson B, Ferris M, Lemire JM, Mendoza SA (1993) The acute peritoneal equilibration test (APEX): optimizing acute peritoneal dialysis in children. Periton Dial Int 13 [Suppl 1]: S 65
Durand PY, Chanliau J, Gamberoni J, Hestin D, Kessler M (1993) Intraperitoneal hydrostatic pressure and ultrafiltration volume in CAPD. Adv Periton Dial 9: 46–48
Flanigan M, Pflederer T, Doyle C, Wingert D, Allen D, Langholt P, Ulrich G (1993) Tidal peritoneal dialysis in children: initial experiences. Dial Transplant 22: 554–563
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Fischbach, M., Desprez, P., Hamel, G. et al. Management of fluid overload in infants by tidal peritoneal dialysis: is there a benefit compared with continuous cycling peritoneal dialysis?. Pediatr Nephrol 8, 598–600 (1994). https://doi.org/10.1007/BF00858140
Received:
Revised:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00858140