Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | |
Tipo de documento: | Capítulo de livro |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1007/978-3-030-70897-9_12 http://hdl.handle.net/11449/248904 |
Resumo: | Decades ago, peritoneal dialysis was widely accepted as treatment for acute kidney injury (AKI); however, its usage declined in favor of other types of extracorporeal therapies. The interest in PD to manage AKI patients has been reignited, and PD now frequently is used in developing countries because of its lower cost and minimal requirements for infrastructure. Studies from Brazil, India, and Africa have shown that with careful thought and planning, critically ill patients can be successfully treated with PD. To overcome some of the classic limitations in the use of PD for AKI, such as increased risk of infectious and mechanical complications and poorer control of urea, potassium, and bicarbonate levels, the use of cyclers, flexible catheters, and a high volume of dialysis fluid has been proposed. However, in developing countries, the setup for quality research is often lacking, thereby resulting in limited evidence regarding standardized treatment regimens including indications, dosing, technical failure, and mortality. The recent publication of the International Society for Peritoneal Dialysis (ISPD) guidelines for PD in AKI has tried to address these issues and provide an evidence-based standard by which to provide therapy. In this chapter, the advances in technical aspects, advantages, and limitations of PD and the key prescriptions and strategies for PD use in AKI are discussed, and we will review recent literature on clinical experience with PD for the treatment of AKI. |
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Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PDAcute kidney injuryIndicationsLimitationsPeritoneal dialysisPrescriptionDecades ago, peritoneal dialysis was widely accepted as treatment for acute kidney injury (AKI); however, its usage declined in favor of other types of extracorporeal therapies. The interest in PD to manage AKI patients has been reignited, and PD now frequently is used in developing countries because of its lower cost and minimal requirements for infrastructure. Studies from Brazil, India, and Africa have shown that with careful thought and planning, critically ill patients can be successfully treated with PD. To overcome some of the classic limitations in the use of PD for AKI, such as increased risk of infectious and mechanical complications and poorer control of urea, potassium, and bicarbonate levels, the use of cyclers, flexible catheters, and a high volume of dialysis fluid has been proposed. However, in developing countries, the setup for quality research is often lacking, thereby resulting in limited evidence regarding standardized treatment regimens including indications, dosing, technical failure, and mortality. The recent publication of the International Society for Peritoneal Dialysis (ISPD) guidelines for PD in AKI has tried to address these issues and provide an evidence-based standard by which to provide therapy. In this chapter, the advances in technical aspects, advantages, and limitations of PD and the key prescriptions and strategies for PD use in AKI are discussed, and we will review recent literature on clinical experience with PD for the treatment of AKI.University of Sao Paulo—USP Department of Internal Medicine, Sao PauloUniversity of Sao Paulo State—UNESP Clinical Hospital of Botucatu Medical School Department of Internal Medicine, Sao PauloUniversity of Sao Paulo State—UNESP Clinical Hospital of Botucatu Medical School Department of Internal Medicine, Sao PauloUniversidade de São Paulo (USP)Universidade Estadual Paulista (UNESP)Ponce, DanielaBalbi, André Luís [UNESP]2023-07-29T13:57:00Z2023-07-29T13:57:00Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bookPart133-145http://dx.doi.org/10.1007/978-3-030-70897-9_12Applied Peritoneal Dialysis: Improving Patient Outcomes, p. 133-145.http://hdl.handle.net/11449/24890410.1007/978-3-030-70897-9_122-s2.0-85160459093Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengApplied Peritoneal Dialysis: Improving Patient Outcomesinfo:eu-repo/semantics/openAccess2024-08-14T17:37:14Zoai:repositorio.unesp.br:11449/248904Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:37:14Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
title |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
spellingShingle |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD Ponce, Daniela Acute kidney injury Indications Limitations Peritoneal dialysis Prescription |
title_short |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
title_full |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
title_fullStr |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
title_full_unstemmed |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
title_sort |
Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD |
author |
Ponce, Daniela |
author_facet |
Ponce, Daniela Balbi, André Luís [UNESP] |
author_role |
author |
author2 |
Balbi, André Luís [UNESP] |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Universidade de São Paulo (USP) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Ponce, Daniela Balbi, André Luís [UNESP] |
dc.subject.por.fl_str_mv |
Acute kidney injury Indications Limitations Peritoneal dialysis Prescription |
topic |
Acute kidney injury Indications Limitations Peritoneal dialysis Prescription |
description |
Decades ago, peritoneal dialysis was widely accepted as treatment for acute kidney injury (AKI); however, its usage declined in favor of other types of extracorporeal therapies. The interest in PD to manage AKI patients has been reignited, and PD now frequently is used in developing countries because of its lower cost and minimal requirements for infrastructure. Studies from Brazil, India, and Africa have shown that with careful thought and planning, critically ill patients can be successfully treated with PD. To overcome some of the classic limitations in the use of PD for AKI, such as increased risk of infectious and mechanical complications and poorer control of urea, potassium, and bicarbonate levels, the use of cyclers, flexible catheters, and a high volume of dialysis fluid has been proposed. However, in developing countries, the setup for quality research is often lacking, thereby resulting in limited evidence regarding standardized treatment regimens including indications, dosing, technical failure, and mortality. The recent publication of the International Society for Peritoneal Dialysis (ISPD) guidelines for PD in AKI has tried to address these issues and provide an evidence-based standard by which to provide therapy. In this chapter, the advances in technical aspects, advantages, and limitations of PD and the key prescriptions and strategies for PD use in AKI are discussed, and we will review recent literature on clinical experience with PD for the treatment of AKI. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2023-07-29T13:57:00Z 2023-07-29T13:57:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/bookPart |
format |
bookPart |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1007/978-3-030-70897-9_12 Applied Peritoneal Dialysis: Improving Patient Outcomes, p. 133-145. http://hdl.handle.net/11449/248904 10.1007/978-3-030-70897-9_12 2-s2.0-85160459093 |
url |
http://dx.doi.org/10.1007/978-3-030-70897-9_12 http://hdl.handle.net/11449/248904 |
identifier_str_mv |
Applied Peritoneal Dialysis: Improving Patient Outcomes, p. 133-145. 10.1007/978-3-030-70897-9_12 2-s2.0-85160459093 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Applied Peritoneal Dialysis: Improving Patient Outcomes |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
133-145 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128217092980736 |