Metabolic Implications of Peritoneal Dialysis in Patients with Acute Kidney Injury

Góes, Cassiana Regina de; Berbel, Marina Nogueira; Balbi, André Luís; Ponce, Daniela

doi:10.3747/pdi.2012.00215

Cited by 24 publications

(20 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They showed that protein loss was 4.2 (± 6.1) g/24 h and there was no correlation with albumin levels. Peritonitis did however increase protein loss (63). Care should be taken to ensure that adequate protein intake occurs aiming for approximately 1.2 g/kg of protein per 24 hours.…”

Section: • Peritonitis • Mechanical Complications • Protein Loss • Hymentioning

confidence: 99%

Peritoneal Dialysis for Acute Kidney Injury

et al. 2014

Self Cite

View full text Add to dashboard Cite

Section: • Peritonitis • Mechanical Complications • Protein Loss • Hymentioning

confidence: 99%

Peritoneal Dialysis for Acute Kidney Injury

et al. 2014

Self Cite

View full text Add to dashboard Cite

“…Góes et al [29] performed an interesting prospective cohort study, and evaluated 208 sessions of HVPD in 31 AKI patients, aiming to evaluate metabolic implications and to identify risk factors associated with those metabolic effects. The glucose absorption remained at approximately 35.3 ± 10.5% per session, the protein loss measured 4.2 ± 6.1 g daily, with higher values initially, which declined significantly after 2 sessions, and the NB was initially negative, but stabilized at approximately zero after 3 sessions.…”

Section: Controversiesmentioning

confidence: 99%

Peritoneal Dialysis Treatment Modality Option in Acute Kidney Injury

Ponce

Gobo-Oliveira

Balbi³

2017

Blood Purif

Self Cite

124

View full text Add to dashboard Cite

Background: Peritoneal dialysis (PD) may be a feasible and safe alternative to haemodialysis not only in the chronic but also in the acute setting. It was previously widely accepted as a modality for acute kidney injury (AKI) treatment, but its practice declined in favor of other types of extracorporeal therapies. Summary: The interest in PD to manage AKI patients has been increased and PD is now frequently used in developing countries because of its lower cost and minimal infrastructural requirements. Studies from these countries have shown that, with careful thought and planning, critically ill patients can be successfully treated using PD. Some of the classic limitations of PD use in AKI, such as infectious and mechanical complications and poor metabolic control, have been decreased with the use of cyclers, flexible catheters, and a high volume of dialysate. The recent publication of the International Society of Peritoneal Dialysis guidelines for PD in AKI has tried to address these issues and provide an evidence-based standard by which to initiate therapy. Key Message: In this review, advances in technical aspects and the advantages and limitations of PD were discussed; it clearly showed that PD is a simple, safe, and efficient way to correct metabolic, electrolyte, acid - base, and volume disturbances generated by AKI and it can be used as a renal replacement therapy modality to treat AKI, both in and out of the intensive care unit setting.

show abstract

“…Acute kidney injury (AKI) is a common disorder that affects approximately 30% of patients in intensive care units (ICU) (1). Recent studies have shown that peritoneal dialysis (PD) can be an option for select AKI patients for promoting adequate metabolic and fluid control with a mortality rate similar to that of other dialysis modalities (2)(3)(4)(5)(6)(7).…”

mentioning

confidence: 99%