Advances in peritoneal dialysis. Conference on Peritoneal Dialysis最新文献

When Love Hurts, It Leaves No Options! An Unusual Case of Pasteurella Peritoneal Dialysis Peritonitis Causing Severe Intra-abdominal Adhesions Preventing a Future Peritoneal Dialysis Option. 当爱受伤时，它没有选择!一例罕见的巴氏杆菌腹膜透析腹膜炎引起严重的腹内粘连，阻止了未来的腹膜透析选择。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Korshie Dumor, Kunal Malhotra

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A Rare Complication During Percutaneous Peritoneal Dialysis Catheter Insertion: Intravesical Placement. 经皮腹膜透析置管中一种罕见的并发症:膀胱内置管。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Erim Gülcan, Seval Yildiz Sahin, Mehmet Korkmaz, Ozlem Kabak

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Prevention of Peritoneal Dialysis Drop-Out. 预防腹膜透析退出。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Sophia L Ambruso, Isaac Teitelbaum

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Treatment of a Dialysate Leak by Simultaneous Catheter Removal and Replacement in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis. 连续腹膜透析患者透析液漏的同时拔管和更换的治疗。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Erim Gülcan, Muhammet Emin Kalay, Özlem Kabak, Süreyya Özbay

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Neisseria mucosa Peritonitis in the Setting of a Migrated Intrauterine Device. 迁移宫内节育器环境下的奈瑟菌黏膜性腹膜炎。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Kiran Nawaz Khan, Ramesh Saxena, Michael Choti, Venkatesh Kumar Ariyamuthu

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Maintaining Peritoneal Dialysis Adequacy: The Process of Incremental Prescription. 维持腹膜透析充分性:增量处方的过程。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Susie Q Lew

{"title":"Maintaining Peritoneal Dialysis Adequacy: The Process of Incremental Prescription.","authors":"Susie Q Lew","doi":"","DOIUrl":"","url":null,"abstract":"Urea kinetics (weekly Kt/V) greater than 1.7 generally define adequate peritoneal dialysis (PD). Adequacy of PD depends on residual renal function and PD clearance. Preserving residual renal function and peritoneal membrane characteristics helps to maintain PD adequacy.The dose of PD can be augmented by increasing the total dialysate volume. Greater volume can be achieved by increasing either the fill volume per exchange or the number of exchanges. Increased time on dialysis can be achieved by keeping PD fluid in the peritoneal cavity at all times. Increasing the convective force enhances solute removal with ultrafiltration.Incremental PD is used during urgent starts and in patients who are newly starting or who have been on PD. Urgent starts require use of frequent low-volume exchanges to avoid leaks at surgical sites. The dialysate volume can be gradually increased provided that no leakage occurs, up to approximately 2 L per exchange on day 14 for an average-size adult. New-start patients require only 1 - 2 exchanges daily if they still have residual renal function. Incremental PD retains patients on PD as residual renal function wanes and peritoneal membrane characteristics change because of dextrose exposure, infection, and inflammation.Use of a cycler permits patients to achieve adequacy by increasing the volume per cycle and the number of cycles per treatment. Using a non-dextrose-based solution, such as icodextrin, allows patients to achieve adequate ultrafiltration with less dextrose exposure.Adequate dialysis can be achieved by manipulating the dialysate dwell volume and the frequency of exchanges, and by optimizing ultrafiltration.","PeriodicalId":7361,"journal":{"name":"Advances in peritoneal dialysis. Conference on Peritoneal Dialysis","volume":"34 2018","pages":"10-14"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36710005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accuracy of a Newly-Introduced Oscillometric Device for the Estimation of Arterial Stiffness Indices in Patients on Peritoneal Dialysis: A Preliminary Validation Study. 一种新引入的用于估计腹膜透析患者动脉僵硬指数的振荡装置的准确性:初步验证研究。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Vasilios Vaios, Panagiotis I Georgianos, Maria I Pikilidou, Theodoros Eleftheriadis, Sotirios Zarogiannis, Aikaterini Papagianni, Pantelis E Zebekakis, Vassilios Liakopoulos

{"title":"Accuracy of a Newly-Introduced Oscillometric Device for the Estimation of Arterial Stiffness Indices in Patients on Peritoneal Dialysis: A Preliminary Validation Study.","authors":"Vasilios Vaios, Panagiotis I Georgianos, Maria I Pikilidou, Theodoros Eleftheriadis, Sotirios Zarogiannis, Aikaterini Papagianni, Pantelis E Zebekakis, Vassilios Liakopoulos","doi":"","DOIUrl":"","url":null,"abstract":"The aim of the present study was to compare the aortic systolic blood pressure (aSBP), heart-rate-adjusted augmentation index (AIx75), and pulse wave velocity (PWV) obtained using the Mobil-O-Graph (IEM, Stolberg, Germany) and SphygmoCor (AtCor, Sydney, Australia) devices in patients receiving peritoneal dialysis (PD).After a 10-minute rest in the supine position, the Mobil-O-Graph and SphygmoCor devices were applied in randomized order in 27 consecutive PD patients. The agreement between the measurements produced by the Mobil-O-Graph and SphygmoCor devices was explored using Bland-Altman analysis.The Mobil-O-Graph-derived aSBP, AIx75, and PWV did not differ from the same measurements obtained with SphygmoCor (aSBP: 120.5 ± 18.2 mmHg vs. 124.4 ± 19.0 mmHg, p = 0.438; AIx75: 27.0% ± 12.4% vs. 24.5% ± 10.6%, p = 0.428; PWV: 9.5 ± 2.1 m/s vs. 10.1 ± 3.1 m/s, p = 0.397). The slight difference in the estimation of aSBP is possibly explained by the difference in brachial SBP used for the calibration of the devices (131.0 ± 20.6 mmHg vs. 134.5 ± 19.7 mmHg, p = 0.525). Mobil-O-Graph-derived measurements correlated strongly with paired measurements obtained with the SphygmoCor device. Bland-Altman plots showed no evidence of asymmetry and a wide range of agreement between the two devices.Our study shows acceptable agreement between Mobil-O-Graph and SphygmoCor in the estimation of arterial stiffness indices in PD patients. Accordingly, the Mobil-O-Graph device accurately performs aortic ambulatory blood pressure monitoring in this population.","PeriodicalId":7361,"journal":{"name":"Advances in peritoneal dialysis. Conference on Peritoneal Dialysis","volume":"34 2018","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36710008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case in Which Renal Function and Peritoneal Function Were Maintained for Ten Years by Proactive Combination Therapy with Peritoneal Dialysis and Hemodialysis. 主动联合腹膜透析和血液透析治疗维持肾功能和腹膜功能10年1例。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Atsushi Ueda, Kei Nagai, Chie Saito, Kunihiro Yamagata

引用次数: 0

Changes in Peritoneal Transport and Peritoneal Damage in Japanese Patients Undergoing Peritoneal Dialysis Using Neutral-pH Dialysate: A Retrospective Cohort Study at Two Centers. 使用中性ph透析液进行腹膜透析的日本患者腹膜转运和腹膜损伤的变化:两个中心的回顾性队列研究。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Daisuke Oishi, Tsutomu Sakurada, Kenichiro Koitabashi, Shigeki Kojima, Nagayuki Kaneshiro, Yugo Shibagaki

{"title":"Changes in Peritoneal Transport and Peritoneal Damage in Japanese Patients Undergoing Peritoneal Dialysis Using Neutral-pH Dialysate: A Retrospective Cohort Study at Two Centers.","authors":"Daisuke Oishi, Tsutomu Sakurada, Kenichiro Koitabashi, Shigeki Kojima, Nagayuki Kaneshiro, Yugo Shibagaki","doi":"","DOIUrl":"","url":null,"abstract":"The effects of medium- or long-term use of neutral-pH dialysate on peritoneal transport and peritoneal damage have not been sufficiently researched.We retrospectively evaluated time-dependent changes in the dialysate-to-plasma ratio of creatinine (D/P Cr) and biomarkers of peritoneal damage in the effluent of 65 patients who underwent peritoneal dialysis (PD) with neutral-pH dialysate, including 48 who underwent medium-term PD (≥3 years) and 17 who underwent long-term PD (≥5 years).Patients who underwent medium-term PD initially had a D/P Cr of 0.59 (range: 0.53 - 0.74), nonsignificantly changing to 0.65 (range: 0.55 - 0.73), 0.67 (range: 0.56 - 0.74), and 0.67 (range: 0.62 - 0.72) after 1, 2, and 3 years respectively (p = 0.30, p = 0.26, and p = 0.19). Patients who underwent long-term PD initially had a D/P Cr of 0.57 (range: 0.52 - 0.62), nonsignificantly changing to 0.61 (range: 0.52 - 0.69), 0.64 (range: 0.54 - 0.67), 0.62 (range: 0.57 - 0.66), 0.65 (range: 0.50 - 0.72), and 0.61 (range: 0.48 - 0.7) after 1, 2, 3, 4, and 5 years respectively (p = 0.49, p = 0.31, p = 0.24, p = 0.23, and p = 0.46). After 3 years, a significant increase in effluent hyaluronan (HA) from 90 ng/mL initially (range: 66 - 121 ng/mL) to 144 ng/ mL (range: 116 - 216 ng/mL) was observed (p = 0.04).No significant change in D/P Cr was observed in patients who underwent PD with neutral-pH dialysate. However, effluent HA, which is a biomarker for peritoneal damage, increased. In patients using neutral-pH dialysate, D/P Cr cannot be a biomarker for determining PD discontinuation within 5 years, but effluent HA might be useful.","PeriodicalId":7361,"journal":{"name":"Advances in peritoneal dialysis. Conference on Peritoneal Dialysis","volume":"34 2018","pages":"5-9"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36710004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Experience Managing Adult Patients on Continuous Ambulatory Peritoneal Dialysis in Bangladesh. 孟加拉成年患者连续动态腹膜透析的管理经验。

Advances in peritoneal dialysis. Conference on Peritoneal Dialysis Pub Date : 2018-11-01

Sarwar Iqbal, M Masud Iqbal, Tufayel Ahmed Chowdhury, Md Abdur Rahim, Abu Sayed Muhammad Manzur Morshed Bhuiyan, Mehruba Alam Ananna, Md Ayub Ali Chowdhury, Rana Mokarram Hossain, Nurul Islam, Md Nurul Islam

{"title":"Experience Managing Adult Patients on Continuous Ambulatory Peritoneal Dialysis in Bangladesh.","authors":"Sarwar Iqbal, M Masud Iqbal, Tufayel Ahmed Chowdhury, Md Abdur Rahim, Abu Sayed Muhammad Manzur Morshed Bhuiyan, Mehruba Alam Ananna, Md Ayub Ali Chowdhury, Rana Mokarram Hossain, Nurul Islam, Md Nurul Islam","doi":"","DOIUrl":"","url":null,"abstract":"Continuous ambulatory peritoneal dialysis (CAPD) is becoming increasingly known to the patients of Bangladesh, and patient numbers are increasing. Here, we report our experience and clinical outcomes in this field.Our analysis included all CAPD patients managed in a tertiary care hospital in Bangladesh between 2003 and 2015. All patients received a Tenckhoff double-cuff catheter by mini-laparotomy, and twin bags were used in most patients. In acute cases, regular exchanges were started manually with small-volume dwells the same or the next day.During the study period, 500 patients (mean age: 62 ± 18 years; 62% men; 86% percent with diabetes) were managed. Selection of CAPD was made by choice (47%) or for hemodynamic instability (32%), remote residence (17%), or poor vascular access (4%). Total duration of follow-up was 9364 patient-months (range: 1 - 78 months). The peritonitis rate was 1 episode in 30 patient-months. Fewer than 5% of patients required catheter removal. Similarly, the percentages of catheter tip migration and fluid leak were at the lower end. Patient survival was 68%, 48%, 38%, 22%, and 8% at 1, 2, 3, 5, and 7 years. Deaths were mostly attributable to vascular events.In a population with predominantly diabetic patients, CAPD was shown to be a viable mode of renal replacement therapy. The rates of peritonitis and catheter-related complications were low. Survival in the initial years can be considered acceptable.","PeriodicalId":7361,"journal":{"name":"Advances in peritoneal dialysis. Conference on Peritoneal Dialysis","volume":"34 2018","pages":"38-41"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36710010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0