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Principles and Practice of Acute Peritoneal Dialysis

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Management of Acute Kidney Problems

Abstract

Peritoneal dialysis (PD) is a well-established renal replacement therapy for patients with acute renal failure (ARF). Among its advantages are hemodynamic stability, avoidance of systemic anticoagulation, less labor intensive, and no need for high-tech machines. Several clinical studies suggest that outcomes of patients with acute kidney failure treated with peritoneal dialysis are quite comparable to those for hemodialysis. Continuous equilibrated peritoneal dialysis is the most commonly adopted form, during which fluid and solute removal can be increased by increasing the cycle frequency and glucose content in dialysate. With high-volume peritoneal dialysis, the Kt/Vurea achieved can be as high as with standard intermittent hemodialysis. The present chapter also discusses prevention and management of complications arising from acute peritoneal dialysis.

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References

  1. Hyman A, Medelssohn DC (2002). Current Canadian approaches to dialysis for acute renal failure in the ICU. Am J Nephrol 22:29–34.

    Article  CAS  PubMed  Google Scholar 

  2. Warady BA, Bunchman T (2000). Dialysis therapy for children with acute renal failure: survey results. Pediatr Nephrol 15:11–13.

    Article  CAS  PubMed  Google Scholar 

  3. Uchino S, Kellum JA, Bellomo R, et al. (2005). Beginning and ending supportive therapy for the kidney (BEST kidney) investigators. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA 294:813–8.

    Article  CAS  PubMed  Google Scholar 

  4. Gabriel DP, Nascimento GVR, Caramori JT, et al.(2006). Peritoneal dialysis in acute renal failure. Ren Fail 2006; 28: 451–6.

    Article  Google Scholar 

  5. Katz IJ, Sofianou L, Butler O, et al. (2001). Recovery of renal function in Black South African patients with malignant hypertension: superiority of continuous ambulatory peritoneal dialysis over hemodialysis. Perit Dial Int 21:581–6.

    CAS  PubMed  Google Scholar 

  6. Ash SR, Wimberly AL, Mertz SL (1983). Peritoneal dialysis for acute and chronic renal failure: an update. Hosp Pract 18: 179–87.

    CAS  Google Scholar 

  7. Hemodialysis Adequacy 2006 Work Group (2006). Clinical practice guidelines for hemodialysis adequacy, update 2006. Am J Kidney Dis 48 (Sl)S2–90.

    Google Scholar 

  8. Peritoneal Dialysis Adequacy Work Group (2006). Clinical practice guidelines for peritoneal dialysis adequacy. Am J Kidney Dis 48(S1):S99–163.

    Google Scholar 

  9. Lo WK, Bargman J, Burkart J, et al. (2006). The International Society for Peritoneal Dialysis (ISPD) guideline on targets for solute and fluid removal in adult patients on chronic peritoneal dialysis. Perit Dial Int 26:520–22.

    PubMed  Google Scholar 

  10. Ash SR 2004. Peritoneal dialysis in acute renal failure of adults: the under-utilized modality. Contrib Nephrol 144: 239–54.

    Article  CAS  PubMed  Google Scholar 

  11. Phu NH, Hien TT, Mai NTH, et al. (2002). Hemofiltration and peritoneal dialysis in infection-associated acute renal failure in Vietnam. New Engl J Med 347:895–902.

    Article  PubMed  Google Scholar 

  12. Bazari H (2003). Hemofiltration and peritoneal dialysis in infection-associated acute renal failure. New Engl J Med 348:858–60.

    Article  PubMed  Google Scholar 

  13. Fruchter O (2003). Hemofiltration and peritoneal dialysis in infection-associated acute renal failure. New Engl J Med 348:858–60.

    Article  PubMed  Google Scholar 

  14. Casserly LM (2003). Hemofiltration and peritoneal dialysis in infection-associated acute renal failure. New Engl J Med 348:858–60.

    Article  PubMed  Google Scholar 

  15. Gabriel DP, Caramori JT, Martim LC, et al. (2008). High volume peritoneal dialysis vs daily hemodialysis: a randomized, controlled trial in patients with acute kidney injury. Kidney Int 73:S87–S93.

    Article  Google Scholar 

  16. Gabriel DP, do Nascimento GVR, Caramori JT et al. (2007). High volume peritoneal dialysis for acute renal failure. Perit Dial Int 27:277–82.

    CAS  PubMed  Google Scholar 

  17. Ronco C, Amerling R (2006). Continuous flow peritoneal dialysis: current state-of-the-art and obstacles to further development. Contrib Nephrol 150:310–20.

    Article  PubMed  Google Scholar 

  18. Chitalia VP, Almeida AF, Rai H, et al. (2002). Is peritoneal dialysis adequate for hypercatabolic acute renal failure in developing countries? Kidney Int 31:747–57.

    Article  Google Scholar 

  19. Piraino B, Bailie GR, Bernardini J (2005). ISPD Ad Hoc Advisory Committee. Peritoneal dialysis-related infections recommendations: 2005 update. Perit Dial Int 25:107–31.

    PubMed  Google Scholar 

  20. Ozener C, Bihorac A, Akoglu E (2001). Technical survival of CAPD catheters: comparison between percutaneous and conventional surgical placement techniques. Nephrol Dial Transpl 16:1893–9.

    Article  CAS  Google Scholar 

  21. Schmidt  SC,  Pohle C, Langrehr JM, et al. (2007). Laparoscopic-assisted placement of peritoneal dialysis catheters: implantation technique and results. J Laparoendoscopic Adv Surg Tech 17:596–599.

    Article  Google Scholar 

  22. Gadallah MF, Pervez A, el-Shahawy MA, et al. (1999). Peritoneoscopic versus surgical placement of peritoneal dialysis catheters: a prospective randomized study on outcome. Am J Kidney Dis 33:118–22.

    Article  CAS  PubMed  Google Scholar 

  23. Vande Walle J, Raes A, Castillo D, et al. (1997). Advantages of HCO3 solution with low sodium concentration over standard lactate solutions for acute peritoneal dialysis. Adv Perit Dial 13:179–82.

    CAS  PubMed  Google Scholar 

  24. Thongboonkerd V, Lumlertgul D, Supajatura V (2001). Better correction of metabolic acidosis, blood pressure control, and phagocytosis with bicarbonate compared to lactate solution in acute peritoneal dialysis. Artif Organs 25:99–108.

    Article  CAS  PubMed  Google Scholar 

  25. Dombros N, Dratwa M, Feriani M, Gokal R, Heimburger O, Krediet R, Plum J, Rodrigues A, Selgas R, Struijk D, Verger C, EBPG Expert Group on Peritoneal Dialysis (2005). European best practice guidelines for peritoneal dialysis. 7 Adequacy of peritoneal dialysis. Nephrol Dial Transpl 20 (S9):ix24–ix27.

    Google Scholar 

  26. Keane WF, Alexander SR, Bailie GR (1996). Peritoneal dialysis-related peritonitis treatment recommendations: 1996 update. Perit Dial Int16:557–73.

    CAS  PubMed  Google Scholar 

  27. Troidle L, Kliger AS, Goldie SJ, et al. (1996). Continuous peritoneal dialysis-associated peritonitis of nosocomial origin. Perit Dial Int 16:505–10.

    CAS  PubMed  Google Scholar 

  28. Wang AY, Yu AW, Li PK, et al. (2000). Factors predicting outcome of fungal peritonitis in peritoneal dialysis: analysis of a 9-year experience of fungal peritonitis in a single center. Am J Kidney Dis 36:1183–92.

    Article  CAS  PubMed  Google Scholar 

  29. Vincent JL, Bihari DJ, Suter PM, et al. (1995). The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. J Am Med Assoc 274:639–44.

    Article  CAS  Google Scholar 

  30. National Nosocomial Infections Surveillance (NNIS) report, data summary from October 1986-April 1996, issued May 1996. A report from the National Nosocomial Infections Surveillance (NNIS) System. Am J Infect Control 24:380–8.

    Article  Google Scholar 

  31. Tacconelli E, Carmeli Y, Aizer A, et al. (2003). Mupirocin prophylaxis to prevent Staphylococcus aureus infection in patients undergoing dialysis: a meta-analysis. Clin Infect Dis 37:1629–38.

    Article  CAS  PubMed  Google Scholar 

  32. Bernardini J, Bender F, Florio T, et al. (2005). Randomized, double-blind trial of antibiotic exit site cream for prevention of exit site infection in peritoneal dialysis patients. J Am Soc Nephrol 16:539–45.

    Article  CAS  PubMed  Google Scholar 

  33. Mannuci PM, Remuzzi G, Pusineri F, et al. (1983). Deamino 8-D-arginine vasopressin shortens the bleeding time in uremia. New Engl J Med 308; 8–12.

    Article  Google Scholar 

  34. Joffe P (1993). Peritoneal dialysis leakage treated with fibrin glue. Nephrol Dial Transpl 8:474–6.

    CAS  Google Scholar 

  35. Sojo ET, Grosman MD, Monteverde ML, et al. (2004). Fibrin glue is useful in preventing early dialysate leakage in children on chronic peritoneal dialysis. Perit Dial Int 24:186–190.

    CAS  PubMed  Google Scholar 

  36. Strippoli P, Pilolli D, Mingrone G, et al. (1989). A hemostasis study in CAPD patients during fibrinolytic intraperitoneal therapy with urokinase (UK). Adv Perit Dial. 1989; 5:97–9.

    CAS  Google Scholar 

  37. Cruces R P, Roque E J, Ronco M R, et al. (2006). Massive acute hydrothorax secondary to peritoneal dialysis in a hemolytic uremic syndrome. Report of a case. Revista Medica de Chile 134:91–4.

    Google Scholar 

  38. Watson PE, Watson ID, Bam RD (1980). Total body water volumes for adult males and females estimated from simple anthropometric measurements. Am J Clin Nutr 33:27–39.

    CAS  PubMed  Google Scholar 

  39. Himmelfarb J, Evanson J, Hakim RM, et al. (2002). Urea volume of distribution exceeds total body water in patients with acute renal failure. Kidney Int 61:317–23.

    Article  CAS  PubMed  Google Scholar 

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Lo, WK., Lui, SL., Yip, T.PS. (2010). Principles and Practice of Acute Peritoneal Dialysis. In: Jörres, A., Ronco, C., Kellum, J. (eds) Management of Acute Kidney Problems. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69441-0_57

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  • DOI: https://doi.org/10.1007/978-3-540-69441-0_57

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