Peritoneal Dialysis in Acute Kidney Injury: Prescribing Acute PD

Detalhes bibliográficos
Autor(a) principal: Ponce, Daniela
Data de Publicação: 2021
Outros Autores: Balbi, André Luís [UNESP]
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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spelling 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
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