Acute Medical (bedside) Peritoneal Dialysis catheter insertion in Intensive Therapy Unit setting, an overlooked Renal Replacement Therapy option, A Case Study

Abstract

A 56-year-old woman with a background of long-standing type II diabetes and chronic kidney disease presented to hospital with fevers, cough and shortness of breath. She had been self-isolating due to COVID-19 a week prior to admission. Her admission resulted in a long stay in intensive care unit with acute kidney injury. Due to her hypercoagulability state, multiple attempts of haemodialysis and filtration failed resulting in the first attempt of bedside (non-fluoroscopic guided) insertion of peritoneal dialysis catheter in an ITU setting in the region of Essex. We note that usually in an ITU setting, haemodialysis is commonly used. Our case therefore serves as an important reminder that peritoneal dialysis (PD) can serve a significant value for patients with acute kidney injury when haemodialysis cannot help in.