Shorter break‐in period is a viable option with tighter PD catheter securing during the insertion

Sharma, Ajay; Mandhani, Anil; Daniel, Shaji P.; Filler, Guido

doi:10.1111/j.1440-1797.2008.01000.x

Cited by 33 publications

(29 citation statements)

References 31 publications

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“…Shame et al [24] reported that after a tight catheter was secured during the insertion, the overall incidence of peri-catheter leakage remained low in the entire study cohort, and the incidence of peri-catheter leakage did not increase despite a shorter break-in period. Povlsen and Ivarsen [5] retrospectively described how acute APD was initiated using a standard prescription for a 12-h overnight APD in the supine position immediately after PD catheter placement and compared short-term outcome measures and dialysis-related complications between urgent-start and planned-start patients.…”

Section: Discussionmentioning

confidence: 99%

Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes

et al. 2016

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BackgroundSeveral studies have suggested that urgent-start peritoneal dialysis (PD) is a feasible alternative to hemodialysis (HD) in patients with end-stage renal disease (ESRD), but the impact of the dialysis modality on outcome, especially on short-term complications, in urgent-start dialysis has not been directly evaluated. The aim of the current study was to compare the complications and outcomes of PD and HD in urgent-start dialysis ESRD patients.MethodsIn this retrospective study, ESRD patients who initiated dialysis urgently without a pre-established functional vascular access or PD catheter at a single center from January 2013 to December 2014 were included. Patients were grouped according to their dialysis modality (PD and HD). Each patient was followed for at least 30 days after catheter insertion (until January 2016). Dialysis-related complications and patient survival were compared between the two groups.ResultsOur study enrolled 178 patients (56.2% male), of whom 96 and 82 patients were in the PD and HD groups, respectively. Compared with HD patients, PD patients had more cardiovascular disease, less heart failure, higher levels of serum potassium, hemoglobin, serum albumin, serum pre-albumin, and lower levels of brain natriuretic peptide. There were no significant differences in gender, age, use of steroids, early referral to a nephrologist, prevalence of primary renal diseases, prevalence of co-morbidities, and other laboratory characteristics between the groups. The incidence of dialysis-related complications during the first 30 days was significantly higher in HD than PD patients. HD patients had a significantly higher probability of bacteremia compared to PD patients. HD was an independent predictor of short-term (30-day) dialysis-related complications. There was no significant difference between PD and HD patients with respect to patient survival rate.ConclusionIn an experienced center, PD is a safe and feasible dialysis alternative to HD for ESRD patients with an urgent need for dialysis.

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Section: Discussionmentioning

confidence: 99%

Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes

et al. 2016

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“…Lobbedez et al (14) reported that only 2 of 34 unplanned PD patients (median break-in period: 4 days) experienced a peritoneal leak. Sharma et al (15) showed that, after using a technique to more tightly secure the PD catheter during insertion (n = 48), the overall incidence of pericatheter leak remained low despite a shorter break-in period (<7 days). Similarly, a recent study from Taiwan suggested that early PD initiation (<14 days) in patients undergoing surgical implantation of a Tenckhoff catheter was not associated with an increased number of complications (16).…”

Section: Discussionmentioning

confidence: 99%

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

et al. 2014

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♦ Objectives: Peritoneal dialysis (PD) is one of the firstline modalities of renal replacement therapy in patients with end-stage renal disease. Guidelines recommended a break-in period of at least 2 weeks before full PD start. However, the optimal duration of the break-in period is still unclear. In the present study, we investigated the effect of various break-in periods on short-term outcomes in patients on PD.

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“…The early start of peritoneal dialysis, with break-in periods of shorter than 2 weeks, increasingly has been accepted as an option for patients in need of urgent dialysis. Based on recent studies with a very low incidence of leakage, an early start is acceptable for catheters inserted with technique modifications to ensure a water tight seal around the catheter [9,19].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Modified Sutureless Peritoneal Dialysis Catheter Placement with Conventional Technique: A Prospective Study

Kh¹,

pyarasabadi²

2018

UNOAJ

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Shorter break‐in period is a viable option with tighter PD catheter securing during the insertion

Cited by 33 publications

References 31 publications

Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes

Urgent-Start Peritoneal Dialysis and Hemodialysis in ESRD Patients: Complications and Outcomes

Impact of Break-In Period on the Short-Term Outcomes of Patients Started on Peritoneal Dialysis

Comparison of Modified Sutureless Peritoneal Dialysis Catheter Placement with Conventional Technique: A Prospective Study

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