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Urgent start peritoneal dialysis: A viable option for acute and chronic kidney failure
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Journal of Nephrology & Therapeutics

ISSN: 2161-0959

Open Access

Urgent start peritoneal dialysis: A viable option for acute and chronic kidney failure


8th World Nephrology Conference

August 15-16, 2016 Sao Paulo, Brazil

Daniela Ponce

Botucatu School of Medicine ΓΆΒ?Β? UNESP, Brazil

Posters & Accepted Abstracts: J Nephrol Ther

Abstract :

Peritoneal dialysis (PD) may be a feasible, safe and complementary alternative to hemodialyis (HD) not only in the chronic, but also in the acute setting. Recently, interest in using PD to manage acute kidney injury (AKI) patients has been increasing. The Brazilian studies have shown that, with careful thought and planning, critically ill patients can be successfully treated by PD. To overcome some of the classic limitations of PD use in AKI, such as a high chance of infectious and mechanical complications and no metabolic control, they have proposed the use of cycles, flexible catheter and a high volume of dialysis fluid. This knowledge can be used in the concept of unplanned start on chronic PD and may be a tool to increase the PD penetration rate among incident patients starting chronic dialysis therapy. Although data on unplanned initiation of chronic PD are scarce, they indicate that mortality is the same or even better than for unplanned initiation of HD and the number of infectious complications seems to be lower. In conclusion, unplanned PD is an option and should be offered in an unbiased way to all patients without contraindications to starting urgent PD and it should be offered in an unbiased way to all patients without contraindications to PD starting unplanned dialysis.

Biography :

Email: dponce@fmb.unesp.br

Google Scholar citation report
Citations: 784

Journal of Nephrology & Therapeutics received 784 citations as per Google Scholar report

Journal of Nephrology & Therapeutics peer review process verified at publons

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