Urgent-Start Peritoneal Dialysis - a viable option?: A case report and literature review

Detalhes bibliográficos
Autor(a) principal: Tavares,Joana
Data de Publicação: 2020
Outros Autores: Silva,Filipa, Lima,Anna, Carvalho,Maria João, Cabrita,António, Rodrigues,Anabela
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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spelling 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
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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)
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