Continuous Ambulatory Peritoneal Dialysis - ECAB

Author: Gupta> Amit  

Publisher: Elsevier Health Sciences APAC‎

Publication year: 2013

E-ISBN: 9788131231982

P-ISBN(Paperback): 9788131221785

Subject: R5 Internal Medicine

Keyword: 内科学

Language: ENG

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Description

Continuous ambulatory peritoneal dialysis (CAPD) was introduced by Popovich et al. in 1976, with 4-6 exchanges per day and long dwell time between the exchanges. Later, a group from Seattle used the combination of cyclic and automated PD in their patients and then it was called as continuous automated ambulatory peritoneal dialysis (CAAPD). Later in 1981, this technique was given the name continuous cycling peritoneal dialysis (CCPD) by Diaz-Buxo. Currently, over 130,000 patients are on CAPD worldwide, and it is the most popular form of peritoneal dialysis. This book on continuous ambulatory peritoneal dialysis is designed to address the various clinical decision questions supported by typical clinical scenarios, with which all readers will be able to identify. Thus, it provides an excellent opportunity to widen one's perspective in this area.

Chapter

Physiology of PeritonealDialysis and Urea Kinetics

ABSTRACT

KEYWORDS

PERITONEAL MEMBRANE

Anatomy

Mesothelium

Basement Membrane

Interstitium

Blood Vessels

Peritoneal Lymphatics

ANATOMIC FINDINGS IN PD PATIENTS

PERITONEUM AS A DIALYSIS SYSTEM

Models of Peritoneal Transport

Physiology of Peritoneal Transport

Solute Transport by Diffusion

Ultrafiltra􀆟on

Solute Transport by Convection

Lymphatic Absorption

Electrolytes Transport

Kine􀆟cs of Peritoneal Ultrafiltra􀆟on

CLINICAL OBSERVATIONS OFPERITONEAL MEMBRANE FUNCTION

Characterization of Peritoneal Membrane Transport

Stability of Peritoneal Membrane Over Time

UREA KINETICS AND ADEQUACY OF PD

CALCULATION OF SOLUTE CLEARANCE

Weekly Kt/Vurea

Adjustment for Body Size

Residual Renal Function

Peritoneal Creatinine Clearance

Targets for Adequate Dialysis

Peritoneal Membrane Transport

Peak BUN as Determinant of Well-Being

FLUID BALANCE

Assessment

PATIENT COMPLIANCE

Clinical Use ofPeritoneal Dialysis

ABSTRACT

KEYWORDS

PRINCIPLES OF PERITONEAL DIALYSIS2,3

PRESENT STATUS OF PD WORLDWIDE5–7

Peritoneal Dialysis and Renal Failure

Indications for PD as a Renal Replacement Therapy

Renal Indications of PD

Extra Renal Indications for PD

Survival Advantages on PD

PERITONEAL DIALYSIS AS BRIDGE TOKIDNEY TRANSPLANTATION

PERITONEAL DIALYSIS IN FEMALES

PERITONEAL DIALYSIS IN CHILDRENWITH ESRD

PERITONEAL DIALYSIS AND THE HEART

PERITONEAL DIALYSIS INHEPATIC FAILURE45–51

PD IN ACUTE PANCREATITIS52–54

HYPOTHERMIA AND HYPERTHERMIA55–58

DIALYSIS-ASSOCIATED ASCITES59

POISONINGS60

QUALITY OF LIFE (QOL) IN PD

DIET ALTERATIONS OF PD PATIENTS66

COSTS

PATIENT SELECTION OFTREATMENT MODALITY

Center Effect of Treatment

Patient Preference

Medical Factors Affecting Initial Choice of Modality

CONCLUSION

Infectious Complicationsof ContinuousPeritoneal Dialysis

ABSTRACT

KEYWORDS

EXIT-SITE AND TUNNEL INFECTIONS

Management

Grading Systems

Ultrasonography

Initial Antibiotic Therapy

Mild

Moderate Infec􀆟on

Fungal Infec􀆟ons

Resistant Infection

Indications for Catheter Removal

Site and Timing of New Catheter Placement

Prevention/Treatment of Recurrent Infection

Mupirocin

Rifampicin

PATHOPHYSIOLOGY AND PREVENTIONOF PERITONITIS IN CONTINUOUSPERITONEAL DIALYSIS

Pathophysiology

Recommendations

Management of Peritonitis

Treatment and Recommendations

SUMMARY

Noninfectious Complicationsof Peritoneal Dialysis

ABSTRACT

KEYWORDS

CATHETER MALFUNCTION

METABOLIC COMPLICATIONS

HERNIAE

Risk Factors

Diagnosis

Prevention and Treatment

HYDROTHORAX

Diagnosis

Treatment

GERD

Treatment

ELECTROLYTIC ABNORMALITIES

GASTROINTESTINAL COMPLICATIONS

INFUSION PAIN

Diagnosis and Management

HEMOPERITONEUM

Etiology of Hemoperitoneum

Evaluation and Management

ULTRAFILTRATION FAILURE

Treatment of UFF

PERITONEAL SCLEROSIS

CHYLOPERITONEUM

Diagnosis and Management

Peritoneal Dialysis inAcute Care Setting

ABSTRACT

KEYWORDS

INTRODUCTION

PERITONEAL DIALYSIS—ANUNDERUTILIZED RRT MODALITY

IS PD EFFECTIVE IN THE CRITICALLY ILL

TECHNIQUES OF PERITONEAL DIALYSIS

Acute Intermitted Peritoneal Dialysis

Chronic Equilibrated Peritoneal Dialysis (CEPD)

Tidal Peritoneal Dialysis

High Volume Peritoneal Dialysis

Continuous Flow Peritoneal Dialysis

PERITONEAL ACCESS DEVICES

Acute Catheters

Chronic Catheters

ACUTE PD PRESCRIPTION

RELATIVE CONTRAINDICATIONS TOACUTE PD

COMPLICATIONS OF ACUTE PD

Infectious Complications

Mechanical Complications

Medical Complications

PD IN SPECIAL SETTINGS

Acute PD in Critical Ill Children

PD Access in Neonates/Infants and Small Children

Non-renal Indications for Acute PD

Peritoneal Dialysis in Congestive Heart Failure

Other Non-renal Indications

CONCLUSIONS

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