In peritoneal dialysis, a well-functioning catheter is of great importance because a dysfunctional catheter may be associated with exit-site infection, peritonitis, reduced efficiency of dialysis, and overall quality of treatment, representing one of the main barriers to optimal use of peritoneal dialysis. This chapter reviews the literature on indications and contraindications for peritoneal dialysis, peritoneal dialysis catheter design and materials, the techniques of insertion, complications, and method of removal of dialysis catheters. Some Special Problems in Peritoneal Dialysis.
Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Peritoneal dialysis compared with conventional HD is associated with equivalent or better survival in the first few years, especially with respect to residual renal function RRF Level III evidence.
The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.
These guidelines cover all aspects of the care of patients who are treated with peritoneal dialysis. This includes equipment and resources, preparation for peritoneal dialysis, and adequacy of dialysis both in terms of removing waste products and fluidpreventing and treating infections. There is also a section on diagnosis and treatment of encapsulating peritoneal sclerosis, a rare but serious complication of peritoneal dialysis where fibrotic scar tissue forms around the intestine.
Peritonitis in patients with end-stage renal disease on continuous ambulatory peritoneal dialysis. In this study population, the mortality rate from peritonitis is high, Gram-negative sepsis predominates and the recurrence rate was also high. Age is a risk factor for mortality.
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Email: jnr ghrnet. Depression has recently been recognized as a highly prevalent, treatable condition among dialysis patients, which adversely affects their outcome. In the few studies that have looked at depression among the chronic peritoneal dialysis PD patients, depression has been variously linked with; adverse patient outcome, higher incidence of peritonitis and poor nutritional status.
What is the comparative clinical effectiveness of peritoneal dialysis versus hemodialysis for the first initiative treatment of renal failure in adult patients? What are the evidence-based guidelines regarding optimal first line dialysis for the treatment of renal failure in adult patients? What are the evidence-based guidelines regarding optimal peritoneal dialysis care for the treatment of renal failure in adult patients?
Cardiovascular disease contributes significantly to the adverse clinical outcomes of peritoneal dialysis PD patients. Numerous cardiovascular risk factors play important roles in the development of various cardiovascular complications. Of these, loss of residual renal function is regarded as one of the key cardiovascular risk factors and is associated with an increased mortality and cardiovascular death.