Peritoneal dialysis

Is peritoneal dialysis a painful treatment?...

Doctor's visit for Alex Argumedo - after his tube somehow got dislodged in his stomach, Alex had to have surgery to permanently suture the tube.

Nephrology insertion resulted in lower overall rates of PD nonuse, particularly due to death or remaining predialysis. Greater use may be related to insertion timing, technique or greater commitment on the part of nephrologists to the success of PD.

Our kidneys play several vital roles in the body – their key role is to filter and remove waste products and excess fluid from the blood. People with kidney failure can survive for longer periods of time with treatments such as dialysis and kidney transplants. Dialysis replaces kidney function and is a way of cleaning blood when kidneys can no longer do their job by getting rid of your body’s waste products and excess fluid.

Tego® Needlefree Hemodialysis Connector
The world's first and only needlefree connector FDA-cleared for use in hemodialysis applications, which creates a mechanically and microbiologically closed system when attached to the hub of a catheter, eliminating open catheter hubs and lowering the chance of contamination and infection.

Non communicable diseases such as diabetes, hypertension and chronic kidney disease (CKD) are among the most common causes of death in Sri Lanka at present. Just a few years ago, diagnosis of ‘end stage renal failure’ was tantamount to receiving a death sentence. This is no longer the case. Advances in kidney transplant surgery have made it possible to virtually give ‘new life’ to such patients by transplanting a healthy kidney obtained from a living donor or a ‘brain dead’ person (cadaver- usually the victim of a road accident). The success rate of kidney transplants is almost 98 per cent. The Kidney transplant unit at Kandy General Hospital alone performs an average of 2-3 transplants per week at present.

Will I have a greater chance of infection with peritoneal dialysis than with hemodialysis? If I do peritoneal dialysis will I get peritonitis? Hear from a doctor and nurse about dialysis infections and how an infection may be prevented.

For people who are considering or who have already chosen peritoneal dialysis (PD), this training video provides a full, step-by-step explanation of the process involved for the two types of PD: continuous ambulatory PD and automated PD.

It has been recognized that PD offers some advantages over hemodialysis (HD), and is non-inferior with respect to mortality. However, PD requires a multidisciplinary program and a team management that is difficult to achieve in many rural areas. It is well known that PD outcomes largely depend on the PD program, catheter-access center, and patient education. If PD is done in large and well-developed referral centers, it is efficient and has a higher impact on quality of life, lower cost, and allows patients adequate work and family adaptation. Unfortunately, most of the PD patients in rural China, Latin America, and other developing countries do not have access to these multidisciplinary facilities.

This study showed that hyponatremia is an independent predictor of mortality in PD patients. Nevertheless, whether correcting hyponatremia improves patient survival is unknown. Future interventional studies should address this question more appropriately.

A new study confirms previous research showing an initial survival advantage with peritoneal dialysis (PD) versus hemodialysis (HD), even among patients who have received pre-dialysis care and those starting HD with an arteriovenous fistula or graft.