The beginnings of haemodialysis have been described many times, but the first successful peritoneal dialysis probably antedated the first successful haemodialysis by 7 years. Peritoneal dialysis was undertaken alongside haemodialysis in most renal units from the early 1960s, but also in many hospitals without renal units, and numbers are poorly recorded.
Peritoneal dialysis is now a well established, mature treatment modality for advanced chronic kidney disease. The medium term (at least 5 year) survival of patients on peritoneal dialysis is currently equivalent to that of those on haemodialysis, and is particularly good in patients who are new to renal replacement therapy and have less comorbidity. Nevertheless the modality needs to keep pace with the constantly evolving challenges associated with the provision and delivery of health care.
A previous clinical trial showed that radiologic insertion of first peritoneal dialysis (PD) catheters by modified Seldinger technique is noninferior to laparoscopic surgery in patients at low risk in a clinical trial setting. The present cohort study was performed to confirm clinical effectiveness of radiologic insertion in everyday practice, including insertion in patients with expanded eligibility criteria and by fellows in training.
Renal Ventures Management (RVM), a leading provider of dialysis services for patients suffering from chronic kidney disease, has recently opened the Renal Center of Englewood, LLC in Englewood, New Jersey. The center, which serves peritoneal dialysis (PD) patients managing their care at home, is the first stand-alone PD-only center in the state.
Peritoneal dialysis is one of the options for treatment of end stage renal disease due to FSGS. This therapy allows patients to not suffer symptoms of kidney failure and to not die from their disease.
Expeditious diagnosis of peritonitis remains a significant goal in the management of patients maintained on peritoneal dialysis. Several attempts to use leukocyte esterase reagent strips to diagnose peritonitis have been described. In this study we examined the usefulness of a new reagent strip, the PeriScreen Test Strip, in the diagnosis of peritonitis.
In the article, Urgent Start Peritoneal Dialysis: A Chance for a New Beginning, the authors suggests a paradigm shift from our conventional algorithm of renal replacement therapy. They bring to the forefront the concept of urgent start peritoneal dialysis. This concept addresses the challenges of the late referral or urgent dialysis initiation. These patients are an unfortunate reality for the nephrology community.
The impact of dialysis modality survival is still somewhat controversial because there are conflicting research results about the survival differences between Peritoneal Dialysis (PD) and Hemodialysis (HD), especially during the first 2 years of dialysis treatment. The survival discrepancies among Chronic Kidney Disease (CKD) patients using different dialysis modalities is hard to pin-down because of differential rates of modality switching, varying rates of Kidney Transplantation, and possible differences in patients’ personal characteristics leading to death.
Peritoneal dialysis is one of the treatment options for person suffering from end stage renal disease. It is a form of dialysis wherein the patient enjoys the benefit of the dialysis in the comfort of his home. Let is learn in detail about peritoneal dialysis.
During the last three years, Chance Smiling has made peace with the task master in his life. After receiving hemodialysis, a process that filters blood, for about six years in a clinical setting, he started doing peritoneal dialysis at home.
Baxter International Inc. (BAX - Analyst Report) recalled a single lot of Dianeal PD-2 peritoneal dialysis solution with 1.5% dextrose 6000 mL (Ambu-Flex II) after receiving reports about the presence of a particulate matter, known as mold, resulting from a leak in the container. The news had a negative reaction on the market as shares of the company slid 0.5% to close at $67.57 yesterday. Contamination of a solution with mold could lead to life-threatening fungal peritoneal infection or sepsis upon its intraperitoneal (IP) administration. The affected lot is C903799, with expiration date of May 2015, product code of L5B9710, and national drug code of 00941-0411-11.
Baxter International has recalled one lot of DIANEAL PD-2 Peritoneal Dialysis Solution after receiving customer complaints of particulate matter, confirmed as mold.
Peritoneal dialysis solution is injected directly into a patient’s body cavity (peritoneum). Moldy products could potentially cause a life-threatening fungal peritoneal infection (fungal peritonitis) or sepsis (blood poisoning). Baxter has received reports of adverse events but “no causal relationship has been established.”
Peritonitis caused by Ewingella americana in a patient with peritoneal dialysis: a case report - up-to-the-minute news and headlines. 7thSpace is a online portal covering topics such as Family, Business, Entertainment, Headlines, Recipes and more. A place for the whole family featuring many different sections to chose from.
Hospitalization rates are a relevant consideration when choosing or recommending a dialysis modality. Previous comparisons of peritoneal dialysis (PD) and hemodialysis (HD) have not been restricted to individuals who were eligible for both therapies.
Baxter International Inc. announced today it has initiated a voluntary recall in the United States of a single lot of DIANEAL PD-2 Peritoneal Dialysis Solution with 1.5% Dextrose 6000mL (Ambu-Flex II) to the hospital/user level. The recall is being initiated as a result of complaints of particulate matter, identified as mold, resulting from a leak in the container.
Photographs of a wearable blood purification system (a) and a zeolite–polymer composite nanofiber mesh (b). (c) The nanofiber is composed of blood compatible poly(ethylene-co-vinyl alcohol) as the primary matrix polymer and zeolites which are capable of selectively adsorbing uremic toxins. Biomaterials Science
The clinical benefits of using icodextrin during acute peritonitis in peritoneal dialysis are uncertain. On the premise that high glucose concentration might jeopardize the peritoneal defense during peritonitis, icodextrin administration during acute peritonitis could have the potential to improve the peritonitis outcome whilst improving ultrafiltration.
Hydralazine is an effective antihypertensive drug which acts by vasodilatation. It is well known to cause drug-induced lupus erythematosus. Nevertheless, the overall safety profile is good and cutaneous adverse effects are uncommon. To the best of our knowledge, hydralazine has never been reported to cause Stevens–Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN).
We herein report the first case of hydralazine-induced TEN in a patient with end-staged renal failure. Despite meticulous wound management and intensive medical care, the patient died of a sudden cardiac arrest on day 10 of admission.
The objective of this study was to report selected nutrition behavior practices (type and amount of fat, fiber, and beverage intake) collected by self-administered validated food frequency questionnaires (FFQs) as part of the 1998 to 1999 NKF-CRN Second National Research Question Collaborative Study Group.
Mangalore, Mar 3, 2014: State’s first ever Peritoneal Dialysis centre in a government hospital was inaugurated on Sunday by Minister for Health and Family welfare U T Khader at Wenlock District Hospital in Mangalore.
Dialysis cleanses the body of waste products in the body by use of filter systems. There are two types of dialysis; 1) hemodialysis, and 2) peritoneal dialysis. Hemodialysis uses a machine filter called a dialyzer or artificial kidney to remove excess water and salt, to balance the other electrolytes in the body, and to remove waste products of metabolism. Blood is removed from the body and flows through tubing into the machine, where it passes next to a filter membrane. Peritoneal dialysis in renal failure treatment that utilizes the peritoneal membrane to filter out the blood of individuals who have renal disease.
Peritoneal dialysis (PD) therapy is known to induce morphological and functional changes in the peritoneal membrane. Long-term exposure to conventional bio-incompatible dialysate and peritonitis is the main etiology of inflammation. Consequently, the peritoneal membrane undergoes structural changes, including angiogenesis, fibrosis, and hyalinizing vasculopathy, which ultimately results in technique failure. The epithelial-to-mesenchymal transition (EMT) of mesothelial cells (MCs) plays an important role during the above process; however, the clinical parameters associated with the EMT process of MCs remain to be explored.
Peritoneal dialysis (PD) is a dialysis treatment that is used as an alternative to haemodialysis (HD) for patients with severe kidney disease. In peritoneal dialysis, the patient’s peritoneum which is located in the abdomen acts as a membrane which filters out fluids and other dissolved substances from the blood. The waste products from the patient’s body are flushed out either every night while the patient sleeps (automatic peritoneal dialysis) or via regular exchanges throughout the day (continuous ambulatory peritoneal dialysis).
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