Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008 |
Resumo: | Background: Many patients with end-stage renal disease start renal replacement therapy in an unplanned manner. The vast majority initiate hemodialysis by a central venous catheter, since its use is more widespread and available. This technique is associated with a high risk of infection and damage of the vascular patrimony associated with the use of central veins. Urgent-start peritoneal dialysis comes as an alternative treatment for selected patients. Case report: A 55-year-old woman with focal segmental glomerulosclerosis presented with a rapid decline of renal function and was given renal replacement therapy counselling and opted for peritoneal dialysis. Her chosen modality was postponed for one month due to early uremic symptoms, followed by hemodialysis start through a central venous catheter. During this period a sepsis due to central venous catheter infection occurred, implying four weeks of intravenous antibiotics. Discussion and Conclusion: Although there has been an increase in the number of publications on urgent-start peritoneal dialysis, showing that this technique has comparable results either to urgent-start hemodialysis and planned-start peritoneal dialysis, there still is some resistance to the use of this modality. Given the importance of this subject, this review aims to describe and summarize the available evidence on urgent-start peritoneal dialysis outcomes. Moreover, specific barriers are addressed. Its use is encouraged in hospitals where peritoneal dialysis is available, as an opportunity to improve chronic kidney disease patient management and transition to dialysis. |
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Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature reviewEnd-stage renal diseasePeritoneal DialysisRenal replacement therapyUrgent-start dialysisBackground: Many patients with end-stage renal disease start renal replacement therapy in an unplanned manner. The vast majority initiate hemodialysis by a central venous catheter, since its use is more widespread and available. This technique is associated with a high risk of infection and damage of the vascular patrimony associated with the use of central veins. Urgent-start peritoneal dialysis comes as an alternative treatment for selected patients. Case report: A 55-year-old woman with focal segmental glomerulosclerosis presented with a rapid decline of renal function and was given renal replacement therapy counselling and opted for peritoneal dialysis. Her chosen modality was postponed for one month due to early uremic symptoms, followed by hemodialysis start through a central venous catheter. During this period a sepsis due to central venous catheter infection occurred, implying four weeks of intravenous antibiotics. Discussion and Conclusion: Although there has been an increase in the number of publications on urgent-start peritoneal dialysis, showing that this technique has comparable results either to urgent-start hemodialysis and planned-start peritoneal dialysis, there still is some resistance to the use of this modality. Given the importance of this subject, this review aims to describe and summarize the available evidence on urgent-start peritoneal dialysis outcomes. Moreover, specific barriers are addressed. Its use is encouraged in hospitals where peritoneal dialysis is available, as an opportunity to improve chronic kidney disease patient management and transition to dialysis.Sociedade Portuguesa de Nefrologia2020-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008Portuguese Journal of Nephrology & Hypertension v.34 n.2 2020reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008Tavares,JoanaSilva,FilipaLima,AnnaCarvalho,Maria JoãoCabrita,AntónioRodrigues,Anabelainfo:eu-repo/semantics/openAccess2024-02-06T17:05:06Zoai:scielo:S0872-01692020000200008Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:04.146854Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
title |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
spellingShingle |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review Tavares,Joana End-stage renal disease Peritoneal Dialysis Renal replacement therapy Urgent-start dialysis |
title_short |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
title_full |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
title_fullStr |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
title_full_unstemmed |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
title_sort |
Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review |
author |
Tavares,Joana |
author_facet |
Tavares,Joana Silva,Filipa Lima,Anna Carvalho,Maria João Cabrita,António Rodrigues,Anabela |
author_role |
author |
author2 |
Silva,Filipa Lima,Anna Carvalho,Maria João Cabrita,António Rodrigues,Anabela |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Tavares,Joana Silva,Filipa Lima,Anna Carvalho,Maria João Cabrita,António Rodrigues,Anabela |
dc.subject.por.fl_str_mv |
End-stage renal disease Peritoneal Dialysis Renal replacement therapy Urgent-start dialysis |
topic |
End-stage renal disease Peritoneal Dialysis Renal replacement therapy Urgent-start dialysis |
description |
Background: Many patients with end-stage renal disease start renal replacement therapy in an unplanned manner. The vast majority initiate hemodialysis by a central venous catheter, since its use is more widespread and available. This technique is associated with a high risk of infection and damage of the vascular patrimony associated with the use of central veins. Urgent-start peritoneal dialysis comes as an alternative treatment for selected patients. Case report: A 55-year-old woman with focal segmental glomerulosclerosis presented with a rapid decline of renal function and was given renal replacement therapy counselling and opted for peritoneal dialysis. Her chosen modality was postponed for one month due to early uremic symptoms, followed by hemodialysis start through a central venous catheter. During this period a sepsis due to central venous catheter infection occurred, implying four weeks of intravenous antibiotics. Discussion and Conclusion: Although there has been an increase in the number of publications on urgent-start peritoneal dialysis, showing that this technique has comparable results either to urgent-start hemodialysis and planned-start peritoneal dialysis, there still is some resistance to the use of this modality. Given the importance of this subject, this review aims to describe and summarize the available evidence on urgent-start peritoneal dialysis outcomes. Moreover, specific barriers are addressed. Its use is encouraged in hospitals where peritoneal dialysis is available, as an opportunity to improve chronic kidney disease patient management and transition to dialysis. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692020000200008 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Nefrologia |
dc.source.none.fl_str_mv |
Portuguese Journal of Nephrology & Hypertension v.34 n.2 2020 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137280222298112 |