Abstract
Since vasodilators enhance the peritoneal solute transport, the influence of intraperitoneal papaverine was studied. To verify the action of papaverine on peritoneal transport we selected 33 patients on acute peritoneal dialysis and performed two 2-hour cycles with 2000 cc of a 1.5% solution, adding 40 mg of papaverine to the fourth cycle. At the end of the third and fourth cycles blood and dialysate were drawn for urea, creatinine, glucose and protein levels, using peritoneal clearances of urea and creatinine, glucose absorption and net protein loss to compare the two cycles. We found no significant change in solute transport (urea clearance p>0.0.5; creatinine clearance, protein loss and glucose absorption p>0.1).
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Putnam, T. J.: The living peritoneum as a dialyzing membrane.Am. J. Physiol., 63, 548 (1922).
Ganter, G. Veber: Die Beseitigung giftiger Stoffe aus dem Blute durch Dialyse.Münch. Med. Wochenschr., 70, 1478 (1923).
Maxwell, M. H., Rockney, R. B., Kleeman, C. R.: Peritoneal dialysis. 1. Technique and applications.JAMA, 170, 917 (1959).
Brown, S. T., Ahearn, D. J., Nolph, K. D.: Reduced peritoneal clearances in scleroderma increased by intraperitoneal isoproterenol.Ann. Intern. Med., 78, 891 (1973).
Finkelstein, F. O., Kliger, A. S., Basti, C.: Chronic peritoneal dialysis in diabetic patients with end-stage renal failure.Proc. Dial. Transplant Forsch., 22, 142 (1975).
Nolph, K. D., Stoltz, M. L., Maher, J. F.: Altered peritoneal permeability in patients with systemic vasculitis.Ann. Intern. Med., 75, 753 (1971).
Finkelstein, F. O., Klinger, A. S., Basti, C., Yap, P.: Sequential clearance and dialysance measurements in chronic peritoneal dialysis patients.Nephron, 18, 342 (1977).
Hendelson, L. W.: The problem of peritoneal membrane area and permeabilitiy.Kidney Int., 3, 409 (1973).
Nolph, K. D., Popovich, R. P., Ghods, A. J., Twardowski, Z. J.: Determinants of low clearances of small solutes during peritoneal dialysis.Kidney Int., 13, 117 (1978).
Nolph, K. D., Popovich, R. P., Moncrief, J. W.: Theoretical and practical implication of continuous peritoneal dialysis.Nephron, 21, 117 (1978).
Popovich, R. P., Moncrief, J. W., Nolph, K. D., Ghods, A. J., Twardowski, Z. J.: Continuous ambulatory peritoneal dialysis.Ann. Intern. Med., 88, 449 (1978).
Nolph, K. D., Ghods, A. J., Vanstone, J., Brown, P. A.: The effects of intraperitoneal vasodilators on peritoneal clearances.Trans. Am. Soc. Artif. Intern. Organs, 22, 586 (1976).
McLean, W. M., Polard, D. M., Cohon, M. S., Penzotti, S. C., Mattocks, A. M.: Effect of Tris(hydroxymethyl)aminomethane on removal of urea by peritoneal dialysis.J. Pharm. Sci., 56, 1614 (1967).
Brown, E. A., Kliger, A. S., Toffinet, J., Finkelstein, F. O.: Effect of hypertonic dialysate vasodilators on peritoneal dialysis clearances in the rat.Kidney Int., 13, 271 (1978).
Nolph, K. D., Ghods, A. J., Brown, P., Miller, F., Harris, P., Peyle, K.: Effects of nitroprusside on peritoneal mass transfer coefficients and microvascular physiology.Trans. Am. Soc. Artif. Intern. Organs, 23, 210 (1977).
Miller, F. N., Nolph, K. D., Harris, P. D.: Microvascular and clinical effects of altered peritoneal dialysis solutions.Kidney Int., 15, 630 (1979).
Gutman, R. A., Nixon, W. P., McRae, R. L., Spencer, H. W.: Effect of intraperitoneal and intravenous vasoactive amines on peritoneal dialysis: Study in anephric dogs.Trans. Am. Soc. Artif. Intern. Organs, 22, 570 (1976).
Needleman, P., Johnson, E. M.: Vasodilators and the treatment of angina. In: Goodman, A. G., Goodman, L. S., Gilman, A. C. (eds): The Pharmacological Basis of Therapeutics, 6th ed. Macmillan Publishing Co, New York 1980, p. 830.
Boley, S., Sprayregen, S., Veith, F.J., Siegelman, S. S.: Aggressive roentgenologic and surgical approach to acute mesenteric ischemia.Ann. Surg., 5, 19 (1973).
Larsen, K.: Creatinine assay by a reaction-kinetic principle.Clin. Chim. Acta, 41, 209 (1972).
Chaney, A. L., Marbach, E. P.: Modified reagents for determination of urea and ammonia.Clin. Chem., 8, 130 (1962).
Trinder, P.: Determination of blood glucose using an oxidase-peroxidase system with a noncarcinogenic chromogen.J. Clin. Pathol., 22, 158 (1969).
Weichselbaum, T. E.: Accurate and rapid method for determination of proteins in small amounts of blood serum and plasma.Am. J. Clin. Pathol., 10, 40 (1940).
Goldschmidt, Z. H., Pote, H. H., Katz, M. A., Shear, L.: Effect of dialysate volume on peritoneal dialysis kinetics.Kidney Int., 5, 240 (1974).
Robson, M., Oreopoulos, D. G., Izatt, S., Ogilvier, R., Rapoport, A., DeVeber, G. A.: Influence of exchange volume and dialysate flow rate on solute clearance in peritoneal dialysis.Kidney Int., 14, 486 (1978).
Penzotti, S. M., Mattocks, A. M.: Effects of dwell time, volume of dialysis fluid and added accelerators on peritoneal dialysis of urea.J. Pharm. Sci., 60, 1520 (1971).
Gross, M., McDonald, H. P.: Effects of dialysate temperature and flow rate on peritoneal clearance.JAMA, 202, 215 (1967).
Hendelson, L. W.: Peritoneal ultrafiltration dialysis: Enhanced urea transfer using hypertonic peritoneal dialysis fluid.J. Clin. Invest., 45, 950 (1966).
Hendelson, L. W., Nolph, K. D.: Altered permeabilitiy of the peritoneal membrane after using hypertonic peritoneal dialysis fluid.J. Clin. Invest., 48, 992 (1969).
Zelman, A., Gisser, D., Whittam, P. J., Persons, P. H., Schuyler, R.: Augmentation of peritoneal dialysis efficiency with programmed hyperhypoosmotic dialysate.Am. Soc. Artif. Intern. Organs, 23, 203 (1977).
Nolph, K. D.: Effects of intraperitoneal vasodilators on peritoneal clearances.Dial. Transplant., 7, 812 (1978).
Maher, J. F., Shea, C., Cassetta, M., Hohnadel, D. C.: Isoproterenol enhancement of peritoneal permeability.J. Dial., 1, 319 (1977).
Maher, J. F., Cassetta, M., Shea, C., Hohnadel, D. C.: Peritoneal dialysis in rabbits: A study of transperitoneal theophylline flux and peritoneal permeability.Nephron, 20, 18 (1978).
Maher, J. F., Hirszel, P., Abraham, J. E., Galen, M. A., Chamberlin, M., Hohnadel, D. C.: The effect of dipyridamole on peritoneal mass transport.Trans. Am. Soc. Artif. Intern. Organs, 23, 219 (1977).
Maher, J. F., Hohnadel, D. C., Shea, C., DiSanzo, F., Cassetta, M.: Effect of intraperitoneal diuretics on solute transport during hypertonic dialysis.Clin. Nephrol., 7, 96 (1977).
Mattocks, A. M., Penzotti, S. C.: Acceleration of peritoneal dialysis with minimum amounts of dioctyl sodium sulfosuccinate.J. Pharm. Sci., 61, 475 (1972).
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Ilker, N.Y., Özgür, S. & Cetin, S. Effect of papaverine on solute transport in peritoneal dialysis. International Urology and Nephrology 21, 119–123 (1989). https://doi.org/10.1007/BF02549910
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DOI: https://doi.org/10.1007/BF02549910