Tidal peritoneal dialysis for home-treated patients: Should it be preferred?

Vychytil, Andreas; Lilaj, Tatjana; Schneider, Barbara; Hörl, Walter H.; Haag–Weber, Marianne

doi:10.1016/s0272-6386(99)70309-4

Cited by 32 publications

(38 citation statements)

References 19 publications

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“…Tidal PD was originally designed to optimize solute clearances [28] by leaving constant tidal volume of dialysate in the peritoneal cavity throughout the dialysis session. Clinical studies have not confirmed increased solute clearance with use of TPD [29–31]. The tidal volume is usually one half of initial filling by the cycler of a large (2-L) volume of solution during a dialysis session that lasts for 8–10 hours.…”

Section: Regimens Of Acute Pdmentioning

confidence: 99%

Peritoneal Dialysis in Renal Replacement Therapy for Patients with Acute Kidney Injury

Ansari

2011

International Journal of Nephrology

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Peritoneal dialysis (PD) was the first modality used for renal replacement therapy (RRT) of patients with acute kidney injury (AKI) because of its inherent advantages as compared to Hemodialysis. It provides the nephrologist with nonvascular alternative for renal replacement therapy. It is an inexpensive modality in developing countries and does not require highly trained staff or a complex apparatus. Systemic anticoagulation is not needed, and it can be easily initiated. It can be used as continuous or intermittent procedure and, due to slow fluid and solute removal, helps maintain hemodynamic stability especially in patients admitted to the intensive care unit. PD has been successfully used in AKI involving patients with hemodynamic instability, those at risk of bleeding, and infants and children with AKI or circulatory failure. Newer continuous renal replacement therapies (CRRTs) are being increasingly used in renal replacement therapy of AKI with less use of PD. Results of studies comparing newer modalities of CRRT versus acute peritoneal dialysis have been conflicting. PD is the modality of choice in renal replacement therapy in pediatric patients and in patients with AKI in developing countries.

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Section: Regimens Of Acute Pdmentioning

confidence: 99%

Peritoneal Dialysis in Renal Replacement Therapy for Patients with Acute Kidney Injury

Ansari

2011

International Journal of Nephrology

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“…Additional amounts of fluid are instilled with each exchange to maintain an optimal intraperitoneal volume. The hypothesis that TPD will enhance solute clearances has not been borne by recent studies (Aasarod et al 1997;Juergensen et al 2000;Vychytil et al 1999a). It, can however, be used for patients who have infusion pain -the reservoir of dialysate minimizes pain upon instillation of fresh dialysate (Juergensen et al 1999).…”

Section: Tidal Peritoneal Dialysis (Tpd)mentioning

confidence: 99%

Overview of Peritoneal Dialysis

Mehrotra

Crabtree

Kathuria

2013

Studies in Computational Intelligence

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“…They are closely determined by the hourly dialysate flow rate [7]. For average to high transporter patients, the dialysate flow rate providing the best creatinine clearances is about 3 l/h [9]. Under such conditions, it is easy to reach small molecule clearance targets required by the DOQI guidelines [2] as long as a sufficient amount of dialysate is prescribed, involving a dramatic increase in the cost.…”

Section: Apd Schedules With Various Total Fill Volumesmentioning

confidence: 99%

APD Schedules and Clinical Results

Durand¹

2006

Contributions to Nephrology

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This chapter exposes the clinical effects of different APD schedules. Clinical studies have shown that Na removal is lower with APD compared to CAPD. Therefore the loss of residual renal function requires continuous therapy with long day-dwell of polyglucose dialysate. Peritoneal small molecule clearances are closely determined by the hourly dialysate flow rate (and not the dwell time, which is a concept coming from equilibrium PD techniques as CAPD) with a maximum reached by 3 l/h for average transporter patients. On the other hand, the optimal intraperitoneal volume should be 1500 ml/m(2) of BSA, and less if the hydrostatic intraperitoneal pressure is higher than 18 cm H(2)O. The optimization of the nocturnal APD session depends on the knowledge of the individual drain flow profile. A new schedule, called 'BreakPoint-APD' is based on the automatic adaptation to the drain profile for each patient and for each cycle. It increases clearances by about 10% compared to tidal and CCPD, though reducing the number of nocturnal alarms. The future of APD is likely to continue thanks to further simplification in the machine use, i.e. with improvements in cycler technology.

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Tidal peritoneal dialysis for home-treated patients: Should it be preferred?

Cited by 32 publications

References 19 publications

Peritoneal Dialysis in Renal Replacement Therapy for Patients with Acute Kidney Injury

Peritoneal Dialysis in Renal Replacement Therapy for Patients with Acute Kidney Injury

Overview of Peritoneal Dialysis

APD Schedules and Clinical Results

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