Peritoneal dialysis in acute renal failure
Abstract
The definition of adequate dialysis in acute renal failure (ARF) is complex and involves the time of referral to dialysis, dose, and dialytic method. Nephrologist experience with a specific procedure and the availability of different dialysis modalities play an important role in these choices. There is no consensus in literature on the best method or ideal dialysis dose in ARF. Peritoneal dialysis (PD) is used less and less in ARF patients, and is being replaced by continuous venovenous therapies. However, it should not be discarded as a worthless therapeutic option for ARF patients. PD offers several advantages over hemodialysis, such as its technical simplicity, excellent cardiovascular tolerance, absence of an extracorporeal circuit, lack of bleeding risk, and low risk of hydro-electrolyte imbalance. PD also has some limitations, though: it needs an intact peritoneal cavity, carries risks of peritoneal infection and protein losses, and has an overall lower effectiveness. Because daily solute clearance is lower with PD than with daily HD, there have been concerns that PD cannot control uremia in ARF patients. Controversies exist concerning its use in patients with severe hypercatabolism; in these cases, daily hemodialysis or continuous venovenous therapy have been preferred. There is little literature on PD in ARF patients, and what exists does not address fundamental parameters such as adequate quantification of dialysis and patient catabolism. Given these limitations, there is a pressing need to re-evaluate the adequacy of PD in ARF using accepted standards. Therefore, new studies should be undertaken to resolve these problems. Copyright © Informa Healthcare.
How to cite this document
Keywords
Language
Collections

Related items
Showing items related by title, author, creator and subject.
-
Diálise peritoneal ambulatorial contínua versus diálise peritoneal automatizada: análise dos dados do estudo multicêntrico brasileiro de diálise peritoneal (Braz-PD)
Beduschi, Gabriela de Carvalho(Universidade Estadual Paulista (UNESP), 2017) [Tese de doutorado]
Introdução: A terapia renal substitutiva por diálise peritoneal (DP) na doença renal crônica pode ser realizada manualmente pela DP ambulatorial contínua (CAPD) ou pala utilização de cicladoras automatizadas (APD). O impacto ... -
Accuracy of differences in blood and peritoneal glucose to differentiate between septic and non-septic peritonitis in horses
Alonso, Juliana de Moura; Esper, Carolina Soares
; Pantoja, José Carlos Figueiredo
; Rosa, Gustavo dos Santos
; Giampietro, Rodrigo Rosa
; dos Santos, Bruna
; Guerra, Simony Trevizan
; Ribeiro, Márcio Garcia
; Takahira, Regina Kiomi
; Watanabe, Marcos Jun
et al. (Research in Veterinary Science, 2020) [Artigo]
Difference in blood and peritoneal glucose (DBPG) is used in clinical practice to support a diagnosis of septic peritonitis in horses. It is inexpensive, easy and rapid to perform. The aim of this study was to evaluate the ... -
Characterization of Escherichia coli obtained from patients undergoing peritoneal dialysis and diagnosed with peritonitis in a Brazilian centre
Dias, Regiane C B; Vieira, Melissa A.
; Moro, Ana C.
; Ribolli, Danilo F M
; Monteiro, Aydir C M
; Camargo, Carlos H.; Tiba-Casas, Monique R.; Soares, Flávia B; Dos Santos, Luis F.; Montelli, Augusto C.
et al. (Journal of medical microbiology, 2019) [Artigo]
Purpose. This study aimed to characterize 27 Escherichia coli isolates obtained from peritoneal dialysis (PD)-related peritonitis that occurred at the University Hospital of Botucatu Medical School, Brazil, between 1997 ...