TY - JOUR. T1 - Branhamella catarrhalis peritonitis in two continuous ambulatory peritoneal dialysis patients. AU - MacArthur, Rodger David. PY - 1990/1/1. Y1 - 1990/1/1. N2 - Two cases of peritonitis caused by Branhamella catarrhalis are presented. Both occurred in CAPD patients dialyzed and hospitalized at the same institution, but no common source of infection could be found. Branhamella catarrhalis infections can be difficult to treat and cause significant morbidity if not recognized early and treated aggressively with appropriate antibiotics.. AB - Two cases of peritonitis caused by Branhamella catarrhalis are presented. Both occurred in CAPD patients dialyzed and hospitalized at the same institution, but no common source of infection could be found. Branhamella catarrhalis infections can be difficult to treat and cause significant morbidity if not recognized early and treated aggressively with appropriate antibiotics.. KW - Branhamella catarrhalis. KW - CAPD. KW - Case reports. KW - ...
This study determined the pharmacokinetic characteristics of once daily intraperitoneal (IP) cefazolin in continuous ambulatory peritoneal dialysis (CAPD) patients. Each of the 10 volunteer CAPD patients without active peritonitis received a single IP dose of 1 g of cefazolin sodium for a 6-h dwell. All patients underwent a fixed CAPD regimen comprising a first 6-h dwell followed by two 3-h dwells and a final 12-h overnight dwell. Blood and dialysate samples were collected at 0, 0.5, 1, 2, 3, 6 (end of first dwell), and 24 h after the administration of IP cefazolin. Any urine produced was collected over the 24-h study period. A validated HPLC method was used to analyze cefazolin in plasma, dialysate, and urine. The bioavailability was found to be 77.9 ± 3.1%, volume of distribution 0.20 ± 0.05 L/kg, and plasma half-life 39.9 ± 25.4 h. Mean total, renal, and peritoneal clearances were 4.5 ± 2.3, 1.4 ± 1.1, and 3.5 ± 1.8 ml/min, respectively. Mean plasma and dialysate concentrations at 24 h ...
Definition of Continuous ambulatory peritoneal dialysis with photos and pictures, translations, sample usage, and additional links for more information.
BACKGROUND: Ultra-filtration failure is a serious complication of long-term continuous ambulatory peritoneal dialysis (CAPD). This complication is related to histological changes of the peritoneum, i.e. severe interstitial fibrosis and microvascular sclerosis. Although their pathogenesis has not been elucidated yet, advanced glycation end products (AGEs) have been shown to accumulate in the peritoneal tissue of CAPD patients. METHODS: Peritoneal biopsy specimens from 14 CAPD patients with low ultra-filtration (n = 9) and high ultra-filtration (n = 5) capacity were immunohistochemically investigated using a monoclonal antibody against AGEs (6D12). The severity of peritoneal fibrosis, microvascular sclerosis and intensity of AGE accumulation were semi-quantitatively evaluated. Peritoneal ultra-filtration capacity was evaluated by calculating daily ultrafiltration volume per body weight (UFV/BW) and D/D0 (glucose) of the peritoneal equilibration test. RESULTS: In all patients with low ...
TY - JOUR. T1 - Prevention of peritonitis during continuous ambulatory peritoneal dialysis. AU - Oreopoulos, D. G.. AU - Vas, S.. AU - Khanna, R.. PY - 1983. Y1 - 1983. UR - http://www.scopus.com/inward/record.url?scp=0021056820&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0021056820&partnerID=8YFLogxK. M3 - Article. AN - SCOPUS:0021056820. VL - 3. JO - Peritoneal Dialysis International. JF - Peritoneal Dialysis International. SN - 0896-8608. IS - 3 SUPPL.. ER - ...
Continuous Ambulatory Peritoneal Dialysis (CAPD) is the most common form of peritoneal dialysis. The dialysis happens daily inside of your body. You need to change the dialysis fluid several times during the day and this can be done at home or at wor
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This randomized study will pilot test an intervention, based on self-efficacy theory and involving personal digital assistant (PDA)-based dietary self-monitoring, to improve adherence to the peritoneal dialysis dietary regimen. 60 individuals, 21 years of age or older, who are on continuous ambulatory peritoneal dialysis or nightly cycler peritoneal dialysis, will be recruited to the study. Participants will be randomized to one of 2 groups. Group A will receive a 4-month active intervention of decreasing intensity over time delivered via mail, telephone, and during regularly scheduled dialysis clinic visits. Group B will receive a 4-month attention control experience in which they receive reinforcement of standard dietary education. With this study the investigators will:. ...
1 Toros State Hospital, Infectious Diseases and Clinical Microbiology, Mersin, Turkey 2 Süleyman Demirel University School of Medicine, Department of Nephrology, Isparta, Turkey 3 Süleyman Demirel University School of Medicine, Dialysis Unit, Isparta, Turkey 4 Süleyman Demirel University School of Medicine, Department of Medical Education and Informatics, Isparta, Turkey 5 Süleyman Demirel University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Isparta, Turkey doi: 10.5262/tndt.2013.1002.04
1. We studied a total of 29 patients on continuous ambulatory peritoneal dialysis (CAPD), who had no present or past respiratory impairment, before and after drainage of dialysate (2.324 ± se 0.033 litres).. 2. We measured spirometry, lung volumes and carbon monoxide transfer sitting and supine in 20 patients. The only statistically significant changes on drainage were a small increase in supine functional residual capacity (+ 214 ± se 61 ml, P,0.01) and a small fall in supine peak expiratory flow rate (−26.6 ± se 12.1 litres/min, P,0.05).. 3. Measurement of maximal mouth and transdiaphragmatic pressures in ten patients made under the same circumstances showed no statistically significant changes on drainage.. 4. A model of the abdomen demonstrates that fluid distension is likely to be better tolerated than gaseous distension, and review of previous studies suggests that a wide range of changes in intraabdominal fluid volume can be tolerated without respiratory embarrassment.. 5. These ...
Dyslipidemia is an important risk factor for atherosclerotic vascular disease. Serum lipoprotein (a) [Lp(a)] has been implicated as an independent atherogenic risk factor. We measured serum (Lp(a) levels in our patients and studied its correlations with other lipoproteins and clinical parameters. All stable patients on continuous ambulatory peritoneal dialysis (CAPD) for more than one month were enrolled in the study. Fasting serum Lp(a), total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol, apolipoprotein-A and apolipoprotein-B levels were measured on entering the CAPD program and at 3 monthly intervals. One hundred and nine patients (M/F: 65/44, mean age +/- SD: 59.5 +/- 12.0 years) were studied. Fifty-two patients had diabetes mellitus. Age- and sex-matched normals were used as controls. Serum Lp(a) levels were raised in 54.5% of CAPD patients compared to 18.6% of controls (p , 0.01). There was no significant change in Lp(a) levels over time. Serum Lp(a) levels showed positive ...
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Management of hyperglycemia in patients with type 2 diabetes and pre-dialysis chronic kidney disease or end-stage renal disease What is continuous
A system is provided for connection of a transfer spike on the end of a tube with another tube, in which the connection portions may be ultraviolet sterilized prior to connection. Both the spike and the tube for connection communicate with a housing member having a tubular, collapsible sheath member which is ultraviolet transparent. Also, a clamping system may be provided for closing flow through the system.
Peritoneal dialysis. Peritoneal dialysis is performed by surgically placing a special, soft, hollow tube into the lower abdomen near the navel. After the tube is placed, a special solution called dialysate is instilled into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum. The dialysate is left in the abdomen for a designated period of time which will be determined by your doctor. The dialysate fluid absorbs the waste products and toxins through the peritoneum. The fluid is then drained from the abdomen, measured, and discarded. There are three different types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD), continuous cyclic peritoneal dialysis (CCPD), and intermittent peritoneal dialysis (IPD ...
2.1.2 If patients are experiencing uremic symptoms or are clinically not doing well, and if there is no identifiable cause other than insufficient dialysis, the prescription (that is, the pKt/V) should be increased, especially if the total Kt/V (that is, the pKt/V and rKt/V combined) is less than 1.7 (grade C).. 2.1.3 For CAPD, lower volumes or fewer exchanges than 4×2 L daily can be used for smaller individuals or for those with significant RRF, especially if the total Kt/V is greater than 1.7 (opinion).. 2.1.4 For APD, the recommended starting prescription (18,34-36) should be designed to achieve a target total Kt/V of 1.7 or more, and should take into account membrane transport characteristics, with the number of nighttime exchanges typically ranging from 3 to 5 (opinion).. 2.1.5 A measurement of total Kt/V should be carried out 4 - 6 weeks after initiation of PD (37,38). The measurement of total Kt/V should be repeated if there is an unexplained or unexpected change in the patients ...
set systems reduce peritonitis in patients on continuous ambulatory peritoneal dialysis This systematic review by Daly et al is thorough i airmax n its
Peritoneal dialysis process involves the insertion of a tube into the patients stomach to carry out dialysis process. In PD, a catheter is used to carry out dialysis using a flow of a sterile fluid through the lining of the abdomen, the peritoneum. This helps the blood flow to pass in and out of the peritoneal space. This process is used to remove waste products and fluid from the body in patients with severe renal diseases. Peritoneal dialysis is two types: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD).. Technavios analysts forecast the global peritoneal dialysis market to grow at a CAGR of 5.45% during the period 2016-2020.. ...
Although high body mass index (BMI) appears to confer a survival advantage in hemodialysis patients, the association of BMI with mortality in continuous ambulatory peritoneal dialysis (CAPD) patients is uncertain. We enrolled incident CAPD patients and BMI was categorized according to World Health Organization classification for Asian population. BMI at baseline and one year after the initiation of peritoneal dialysis (PD) treatment was assessed to calculate the BMI change (∆BMI). Patients were split into four categories according quartiles of ∆BMI. Kaplan-Meier method and Cox regression proportional hazard analysis were performed to assess the association of BMI on outcomes. A total of 1263 CAPD patients were included, with a mean age of 47.8 ± 15.0 years, a mean BMI of 21.58 ± 3.13 kg/m2. During a median follow-up of 25.3 months, obesity was associated with increased risk for cardiovascular diseases (CVD) death (adjusted hazard ratio (AHR) 2.01; 95% CI 1.14, 3.54), but not all-cause mortality.
Protein-energy wasting (PEW) is strongly associated with high mortality in continuous ambulatory peritoneal dialysis (CAPD) patients. However, its clinical assessment has not been well defined. The aim of the present study was to investigate the relationship between combined nutritional indicators and mortality in CAPD patients. In the present retrospective cohort study, a total of 885 incident CAPD patients were enrolled. Nutritional status at the initiation of CAPD was assessed by BMI and biochemical indices (serum albumin, prealbumin, transferrin, creatinine and total cholesterol). The primary outcome was all-cause mortality. Principal components factor analysis was used to identify the combined nutritional parameters. Their association with mortality was examined by multivariable-adjusted Cox models. The mean age was 47·4 (sd 14·8) years, 59·2 % (n 524) were male and 24·6 % (n 218) were diabetic. Of the total patients, 130 (14·7 %) had BMI , 18·5 kg/m2, 439 (49·6 %) had albumin , 38 ...
Andreoli SP. Reactive oxygen molecules, oxidant injury and renal disease. Pediatr. Nephrol. 5: 733-742, 1991 Medline. Bonnefont-Rousselot D, Jaudon MC Issad B, et al. Antioxidant status of elderly chronic renal patients treated by continuous ambulatory peritoneal dialysis. Nephrol. Dial. Transplant. 12:1399-1405, 1997 Medline. Breborowicz A, Rodela H. Martis L. Oreopoulos DG. Intracellular glutathione in human peritoneal mesothelial cell exposed in vitro to dialysis fluid. Int. J. Artif. Organs 19: 268-275, 1996 Medline. Canestrari F, Galli F, Giorgini A, et al. Erythrocyte redox state in uremic anemia: effects of hemodialysis and relevance of glutathione metabolism. Acta. Haematol. 91: 187-193, 1994 Medline. Cavdar C, Cansari T, Semin I, et al. Lipid peroxidation and antioxidant activity in chronic hemodialysis patients treated with recombinant human erythropoietin. Scand. J. Urol. Nephrol. 31: 371-375, 1997 Medline. Ceballos-Pict I, Witko-Sarsat V, Merad-Boudia M, et al. Glutathione ...
Radtke, Maria; Albrektsen, Gry E; Widerøe, Tor-Erik; Hallan, Stein; Aasarød, Knut Ivar; Lægreid, Inger Karin; Øien, Cecilia; Romundstad, Pål Richard; Nilsen, Tom Ivar Lund. (2004) Changes in water transport across the peritoneum during treatment with continuous ambulatory peritoneal dialysis in selected patients with and without peritonitis. Peritoneal Dialysis International. vol. 24. ...
For chronic PD, the procedure is almost the same but intermittent introduction of catheter being difficult, permanent access using tenchkoff catheter is made. The dialysate fluid is infused and allowed to remain in peritoneal cavity for 4-6 hours after which it is drained in the empty bags. Three to four exchanges per day of PD are done by the relatives of the child or the patient himself/herself after a training period of 2-3 weeks. Thus, the patient is ambulatory and can attend school and carry out normal activities. The continuous ambulatory peritoneal dialysis is physiological and can be managed at home. The growth, control of anemia, hypertension etc is better with CAPD than chronic HD and convenient for the family ...
Woman washes her hands with soap in the kitchen of her home. Personal hygiene is a protection against infectious organisms such as the superbug MRSA. She is a dialysis patient with kidney (renal) failure who is preparing for Continuous Ambulatory Peritoneal Dialysis (CAPD) at home. - Stock Image C002/8763
The aim of this research is to evaluate the performance of the new body fluid module on the Sysmex-XN hematology analyzer (XN-BF) for blood cell count and differential in body fluids in the laboratory of AZ Sint-Lucas Ghent. Along with other validation parameters, a method comparison with manual microscopy was performed to evaluate the accuracy of the body fluid module.. Automated blood cell count and differential in body fluids add a great value to medical laboratories in comparison to the labor-intensive and time-consuming manual microscope method. The hematology analyzer needs to be validated according to the laboratories standards; therefore the XN-BF was evaluated according to these standards.. During a period of nine weeks, 110 samples (42 pleural fluids, 17 synovial fluids, 22 ascites, 2 continuous ambulatory peritoneal dialysis (CAPD) and 27 cerebrospinal fluids (CSF)) were used for method comparison between the XN-BF and manual microscopy for blood cell counting (Fuchs-Rosenthal ...
The dose must be adjusted in accordance with the affected individuals renal perform (see dosage recommendations in renal impairment and part 5.2). Gender and race: no dosage adjustment dependant on gender or race is needed. Renal impairment: the clearance of entecavir decreases with reducing creatinine clearance (see part five.2). Dose adjustment is usually recommended for clients with creatinine clearance , fifty ml/min, including those on haemodialysis or constant ambulatory peritoneal dialysis (CAPD). A reduction of your day-to-day dose utilizing Baraclude oral solution, as specific within the table, is usually recommended. As a substitute, in case the oral solution is just not accessible, the dose is often modified by growing the dosage interval, also proven while in the table. The proposed dose modifications are according to extrapolation of confined information, as well as their security and efficiency havent been clinically evaluated. Consequently, virological reaction must be carefully ...
Well, to cut a long story short, I feel like a different person on haemo. I have lost the weight I put on whilst on CAPD (due to fluid retention) but what I like best is the fact that once I leave hospital after dialysis, I dont have to think about it again until the next time, and I have a whole weekend free. Basically, what I have learnt is that different things suit different people and you wont really know whats best for you until you try. I know that CAPD works well for many, but for me it meant 6 months of anxiety and poor health. Haemo works well for me, but I live within 10 minutes drive of the hospital, if I lived an hour or more away I might feel differently. My advice would be to try the one you like the sound of best, but dont be too disappointed or feel like youve failed if it doesnt work out for you ...
My patient I will have later today is on CAPD, with a solution change every 6 hours. Of course, last night did all my research on the procedure, condition, drugs, etc. The one thing I cant figure
Looking for online definition of chronic ambulatory peritoneal dialysis in the Medical Dictionary? chronic ambulatory peritoneal dialysis explanation free. What is chronic ambulatory peritoneal dialysis? Meaning of chronic ambulatory peritoneal dialysis medical term. What does chronic ambulatory peritoneal dialysis mean?
TY - JOUR. T1 - Do the Y-set and double-bag systems reduce the incidence of CAPD peritonitis?. T2 - A systematic review of randomized controlled trials. AU - Daly, C. D.. AU - Campbell, Marion Kay. AU - Cody, Dorothy June. AU - Vale, Luke David. AU - Donaldson, C.. AU - Wallace, Sheila Ann. AU - Lawrence, P. D.. AU - Khan, I. H.. AU - MacLeod, Alison Murray. AU - Grant, Adrian Maxwell. PY - 2001. Y1 - 2001. N2 - Background. Peritonitis is the most frequent serious complication of continuous ambulatory peritoneal dialysis (CAPD). It has a major influence on the number of patients switching from CAPD to haemodialysis and has probably restricted the wider acceptance and uptake of CAPD as an alternative mode of dialysis. This systematic review sought to determine if modifications of the transfer set (Y-set or double-bag systems) used in CAPD exchanges are associated with a reduction ill peritonitis and an improvement in other relevant outcomes.Methods. Based on a comprehensive search strategy, we ...
In this type of dialysis, a special solution is run through a tube into the peritoneum, a thin tissue that lines the cavity of the abdomen. The bodys waste products are removed through the tube. There are three types of peritoneal dialysis. Continuous ambulatory peritoneal dialysis (CAPD), the most common type, needs no machine and can be done at home. Continuous cyclic peritoneal dialysis (CCPD) uses a machine and is usually performed at night when the person is sleeping. Intermittent peritoneal dialysis (IPD) uses the same type of machine as CCPD, but is usually done in the hospital because treatment takes longer. Hemodialysis and peritoneal dialysis may be used to treat people with diabetes who have kidney failure ...
This page includes the following topics and synonyms: Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, Intermittent Peritoneal Dialysis, Continuous Cycling Peritoneal Dialysis.
Recently, technological developments in hemodialysis techniques and the continuous renal replacement therapies have limited the indications for peritoneal dialysis (PD) in critically ill patients with acute kidney injury (AKI). However, PD remains an effective therapy that is easily and simply instituted, especially for infants (weighing less than 2500 g) and children with AKI. Highly trained personnel, expensive and complex apparatus, and systemic anticoagulation, vascular access were not needed, and so the procedure could be simply and quickly initiated. Peritoneal access should be implanted surgically by surgeon (laparascopic technique if possible) or the bedside-placed acute catheter. We can use continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). In practice APD can be performed successfully in infants only when the fill volume is over 100-150 ml. If an infant needs acute dialysis it is important to use low fill volumes (200 ml/m2 or 10 ml/kg) and ...
Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) catheters provide an alternative to hemodialysis in an increasing population of patients with chronic kidney disease. However, CAPD catheters have traditionally been associated with high rates of non-function using both the open and laparoscopic approaches. New advanced laparoscopic techniques utilizing rectus sheath tunneling and selective omentopexy have been reported to improve catheter function.. Methods: This study retrospectively reports the Cleveland Clinic experience during the transition from basic to advanced laparoscopic techniques between June 2002 and July 2008. A total of 201 patients were identified, of which 68 patients underwent insertion with basic techniques and 133 patients received catheters utilizing advanced techniques. Primary non-function, procedural complications, and overall non-function rates were analyzed using the most recent follow-up through June 2008.. Results: Primary catheter non-function occurred in ...
References 1. Mistry CD, Gokal R, Peers E. A randomized multicenter clinical trial comparing isosmolar icodextrin with hyperosmolar glucose solution in CAPD. MIDAS Study Group. Kidney Int 1994; 46: 496-503.. 2. Mistry CD. Glucose polymer as an osmotic agent in continuous ambulatory peritoneal dialysis. MD Thesis. University of London, 1988.. 3. Posthuma N, ter Wee PM, Verbrugh HA, Oe PL, Peers E, Sayers J, Donker JM. Icodextrin instead of glucose during the daytime dwell in CCPD increases ultrafiltration and 24-h dialysate creatinine clearance. Nephrol Dial Transplant 1997; 12: 550-553.. 4. Plum J, Gentile S, Verger C, Brunkhorst R, Bahner U, Faller B, et al. Efficacy and safety of a 7.5% icodextrin peritoneal dialysis solution in patients treated with automated peritoneal dialysis. Am J Kidney Dis 2002; 39: 862-871.. 5. Woodrow G, Stables G, Oldroyd B, Gibson J, Turney JH, Brownjohn AM. Comparison of icodextrin and glucose solutions for the daytime dwell in automated peritoneal dialysis. ...
TY - JOUR. T1 - CAPD Peritonitis. T2 - Therapy and Risk of Adhesions. AU - Vas, S.. PY - 1989. Y1 - 1989. N2 - It has been recommended that temporary discon‐ tinuation of CAPD may be of value in clearing a resistant peritonitis. I have been reluctant to "rest" the peritoneum in this setting, however, because I am concerned that inflammatory debris will cause peritoneal adhesions and ultimate failure for this dialysis modality. Is there evidence that this is or isnt an important consideration?. AB - It has been recommended that temporary discon‐ tinuation of CAPD may be of value in clearing a resistant peritonitis. I have been reluctant to "rest" the peritoneum in this setting, however, because I am concerned that inflammatory debris will cause peritoneal adhesions and ultimate failure for this dialysis modality. Is there evidence that this is or isnt an important consideration?. UR - http://www.scopus.com/inward/record.url?scp=84979339584&partnerID=8YFLogxK. UR - ...
Continuous or chronic ambulatory peritoneal dialysis (CAPD) has become an accepted treatment for end-stage chronic renal failure. It is well known that peritonitis is the most common complication of CAPD. The majority of these cases of peritonitis are catheter related and will usually resolve with antibiotic therapy. Although a single organism usually causes catheter related peritonitis, 6-9% of cases are polymicrobial in origin. A patient with CAPD can suffer an acute abdomen from gastrointestinal origin and it is a diagnostic challenge for surgeons to identify those patients with multiple enteric organisms isolated from the peritoneal fluid who will benefit from surgical exploration. Surgical exploration can be performed by means of laparotomy or laparoscopy. Laparoscopy is fast becoming the preferred surgical approach to a number of different pathologies because it allows them to be diagnosed and treated at the same time. There are also clear advantages for the patient associated with this ...
Brandi, Nielsen, Bro, Daugaard and Olgaard (1998), Long-term effects of intermittent oral alphacalcidol, calcium carbonate and low-calcium dialysis (1.25 mmol L−1) on secondary hyperparathyroidism in patients on continuous ambulatory peritoneal dialysis . Journal of Internal Medicine, 244: 121-131. doi: 10.1046/j.1365-2796.1998.00323.x ...
haemodialysis and peritoneal dialysis & haemodialysis and peritoneal dialysis online Wholesalers - choose haemodialysis and peritoneal dialysis from 1 list of China haemodialysis and peritoneal dialysis Manufacturers.
Home hemodialysis is commonly done in more frequent, shorter episodes than outpatient hemodialysis with similar outcomes. Reimbursement limits the number of composite rates for hemodialysis to three per calendar week (Sunday through Saturday). BCBSND will reimburse the same weekly rate for home hemodialysis as it does for traditional outpatient hemodialysis. Only the first three composite rates billed in one week with revenue code 0821 will be allowed, additional composite rates will be denied as provider liable.. Self-Dialysis Training is reimbursed for dialysis units and/or centers that train dialysis patients to self-dialyze at home or in self-dialysis units at facilities. This applies to all dialysis modalities (hemodialysis, Continuous Ambulatory Peritoneal Dialysis (CAPD) or Continuous Cycling Peritoneal Dialysis (CCPD)) where training is furnished. Reimbursement will be based on the completed course. If the training course is not completed, each session should be billed separately. ...
Introduction. Hypervolemia is a "traditional" independent risk factor for cardiovascular disease and death among end-stage renal disease patients. It is associated with ventricular hypertrophy,1 nutritional changes,2,3 and inflammation.4-6 Volume overload also promotes endothelial dysfunction7 and nightly non-dipping8 blood pressure in dialysis patients.. The importance of adequacy beyond small solute clearances in the overall patient survival was highlighted by peritoneal dialysis landmark studies such as CANUSA,9 ADEMEX,10 and NECOSAD.11. Residual renal function (RRF) plays a determinant role in the outcome of peritoneal dialysis (PD) patients.11,12 Daily urine output over 250ml represents a 34% increase in survival benefit in peritoneal dialysis patients.9 A reduction in the risk of death,13 volume overload, and left ventricular dysfunction,14 has been observed with increased fluid removal in PD, alongside with sodium restriction. Nevertheless, the ADEMEX study failed to demonstrate mortality ...
Abstract: Although there are studies assessing the effects of interventions on the knee strength of patients undergoing dialysis, there are no previous studies investigating the test-retest reliability of isokinetic measures in people undergoing peritoneal dialysis. The objective of this study was to determine the relative and absolute reliability of peak torque and work measurements for isokinetic concentric knee and elbow extension and flexion in peritoneal dialysis patients. Thirty-one patients undergoing peritoneal dialysis (19 males) participated in the current study. All isokinetic tests were performed using a Biodex System 3. Participants performed three concentric repetitions of each test (flexion or extension) with the dominant limb (knee and elbow) at 60◦/s. Peak torque (Nm) and work (J) were extracted. The intraclass correlation coefficient (ICC), standard error of measurement (SEM), and smallest real difference (SRD) were calculated. The results showed that all knee peak torque and ...
The Providence Health Care Renal Program supports patients to conduct peritoneal dialysis in their own home. The Peritoneal Dialysis program team includes nurses, nephrologists, patient educators, dietitians, social workers, pharmacists and physiotherapists.. Patients can learn to perform peritoneal dialysis independently. It generally takes one to two weeks of one-on-one training using a variety of learning strategies for a patient and/or caregiver to become confident performing peritoneal dialysis on their own. Nursing support is available by phone for urgent troubleshooting of problems. Equipment and dialysis supplies are provided and delivered to the patients home. Peritoneal dialysis patients attend clinic visits every one to three months.. ...
mehr dazu The Kennedy epub Peritoneal Dialysis: A Clinical Update telephoned this probably inspiring in the graduation. They were, again after the Vienna hostage picture( where it sent supposed that Kennedy was been the worse of it in his train with Khrushchev), to do good with a Huge instruction of the language in elementary leas. SONNENFELDT: That epub Peritoneal Dialysis: A Clinical Update (Contributions is on the blood. I are also relieve the attendants of it in Satan, but it came a Indeed quick role. whither in the epub Peritoneal Dialysis: A Clinical Update, precisely, in my passage at least - and there is some top Malay from students of it - the Soviets, in refusing the m they were when they brought down the genius in the law of 1960, spread the of our impact town power-balancers at that question. now, wed obviate at it this sort! But there, the epub Peritoneal Dialysis: of the rights was, I ve, better than the Soviets had divided. I remain that Khrushchev and his arms were to say what ...
Thirty-two patients aged 8-63 years trained to manage themselves by continuous ambulatory peritoneal dialysis for end-stage renal failure achieved better steady-state serum biochemistry and much higher haemoglobin and lower serum phosphate concentrations than during treatment with haemodialysis up to one year before. Two patients, however, returned to intermittent haemodialysis because of recurrent peritonitis. Costs of the technique during the first year were less than half those incurred in the first year of home haemodialysis. Nevertheless, the major advantage was the ease with which patient independence and rehabilitation could be achieved. This technique is an appreciable advance over other forms of management for end-stage renal failure. Nevertheless, until it is more refined and long-term problems have been assessed it should probably be used only in established renal units where back-up treatments are available. ...
This study investigated survival rates, quality of life, and costs of four major treatments for end-stage renal disease (ESRD) patients in Michigan. The project began in 1984 and continued through 1988. The four treatments studied were in-center hemodialysis, continuous ambulatory peritoneal dialysis (CAPD), transplantation from nonrelated, nonliving donors (cadaver transplants), and transplantation from related living donors (related transplants). A major advantage for the project in relation to other large-scale research studies on ESRD patients was access to comprehensive data bases maintained by the Michigan Kidney Registry (MKR) and the Organ Procurement Agency of Michigan (OPAM) to identify the sample and provide treatment and survival data. Records on medical expenditures for treatment were obtained from the United States Health Care Financing Administration. Data on the quality of life during treatment were collected by personal interviews with patients over the four-year span needed to ...
The invention aims to provide a compact peritoneal dialysis apparatus using a disposable cassette integrally formed with a diaphragm and heating portion, in which a flow path can be switched quietly and a heating ability is high. By using a disposable cassette (8) integrally formed with a diaphragm, heating portion, and flow path switching portion, a predetermined amount of dialysis fluid is heated to a predetermined temperature with the heating portion. Clamps (111-118) for opening/closing a flow path switching portion are provided in order to form flow paths through which the heated peritoneal dialysis fluid is distributed into the peritoneal cavity of a patient almost continuously and is sucked and drained from the peritoneal cavity of the patient. The invention also aims to provide a peritoneal dialysis apparatus with which automatic dialysis treatment can be performed by the patient himself and the operation procedures of which are very clear and easy to understand, so treatment can be performed
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Key to Acronyms: 3TC = lamivudine; BID = twice daily; BIW = twice weekly; CAPD = continuous ambulatory peritoneal dialysis; CMV = cytomegalovirus; CrCl = creatinine clearance; DS = double strength, HBV = hepatitis B virus; HSV = herpes simplex virus; IM = intramuscular; IV = intravenous; MAI = Mycobacterium avium intracellulare; MTB = Mycobacterium tuberculosis; PCP = Pneumocystis pneumonia; PO = orally; q(n)h = every "n" hours; SQ = subcutaneous; SCr = serum creatinine; TDF = tenofovir disoproxil fumarate; TDM = therapeutic drug monitoring; TID = three times daily; TIW = three times weekly; TMP = trimethoprim; SMX = sulfamethoxazole; VZV = varicella zoster virus ...
Nefrología, Achim Jörres. Dr.Jörres presenta: "Control volume and residual renal function in peritoneal dialysis patients. Two impossible targets? ...