Acute Renal Failure

Peritoneal Dialysis in Acute Renal Failure

“…Such patients were often debilitated, post-surgical, malnourished, or hemodynamically unstable, and IPD offered the advantage that systemic anticoagulation was not needed, no blood loss occurred, and glucose was absorbed from the peritoneal solution. There was no need for highly trained personnel or for expensive and complex equipment, and the procedure could be initiated simply and quickly, whereas IPD was considered equal to intermittent HD (IHD), for ARF patients requiring dialysis (1). Compared to hemodialysis, however, peritoneal dialysis was less effective in severe acute illnesses such as pulmonary edema, poisonings or drug overdose, hyperkalemia, and extremely catabolic patients.…”

“…Compared to hemodialysis, however, peritoneal dialysis was less effective in severe acute illnesses such as pulmonary edema, poisonings or drug overdose, hyperkalemia, and extremely catabolic patients. Its low efficiency, the risk of infection, and technological improvements in continuous hemodialysis techniques have greatly reduced the use of IPD and more continuous PD techniques have been used (1)(2)(3). Yet acute PD techniques, assisted or not by automated cycling machines remain an efficient and simple treatment in the management of ARF and in toxic/metabolic, electrolyte, or volume disorders in critically ill patients (2-6) who are not markedly catabolic.…”

Emergency Continuous Peritoneal Dialysis using Flexible Tenckhoff Catheter inserted with Reinforced Purse String Suture : An efficient substitute of renal replacement therapy in Critically Ill Patients with AKI when Intermittent Hemodialysis, Sustained lo

“…However earlier studies have shown that patients treated with PD had lower mortality rates and a higher incidence of renal recovery than did similar patients treated with HD alone 17,18 .…”

Glomerular Filtration Rate in Children with Advanced Chronic Renal Failure: Methods of Determination and Clinical Applications

“…Besides providing an index of the success or failure of a particular therapeutic regimen [19, 33, 51a], serial measurements can signal a need for hemodialysis and/or renal trans plantation [40,44]. Thus, precise measurements of glo merular filtration rates [63,71] are crucial in treatment of children with chronic renal failure whose growth and development may be maximized by timely transition from conservative management to the new therapeutic regimens incorporating the vitamin D metabolites.…”