Prescription of Peritoneal Dialysis: CAPD, CCPD, COPD, IPD or TPD

  • M. Fischbach
  • J. Terzic
  • J. Geisert


Peritoneal dialysis for children is more frequently prescribed in the form of automated peritoneal dialysis (APD) than as continuous ambulatory peritoneal dialysis (CAPD) (1,5,45,49). APD is carried out at night with the child in bed and resting, usually in combination with one or more peritoneal exchanges during the day with the child up and about. The effect of posture on peritoneal dialysis varies, but is at least worthy of mention in terms of tolerance to the peritoneal fill volume, which is increased in the prone position (1,5,28,33), and in terms of dialytic effectiveness, which is probably also enhanced in the prone position (4,28,40,44). However, the selection of nocturnal APD is usually based on other practical advantages such as freedom of activity during the day and the limited number of connections. In any case, a number of APD methods can be prescribed for the individual patient: continuous cycling peritoneal dialysis with a full peritoneal cavity during the day (CCPD), continuous optimised peritoneal dialysis with one or two exchanges before the night session (COPD), nocturnal intermittent peritoneal dialysis with an empty cavity during the day (NIPD) or tidal peritoneal dialysis (TPD). CAPD can be prescribed with several cycles during the day with a full peritoneal cavity day and night (Figure 1). In each case, the prescription must take into account two main parameters:
  • intraperitoneal fill volume (Vip),

  • intraperitoneal dwell time (Tip).


Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis Residual Renal Function Automate Peritoneal Dialysis Dialysate Flow Rate 
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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • M. Fischbach
    • 1
  • J. Terzic
    • 1
  • J. Geisert
    • 1
  1. 1.Paediatrics 1Hautepierre University HospitalsStrasbourg CedexFrance

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