What is the most common complication of peritoneal dialysis?
The most frequent and important complication of peritoneal dialysis (PD) catheters is infection, which may result in catheter loss and discontinuation of PD [1,2].
What are contraindications for peritoneal dialysis?
Relative contraindications for PD include patients with severe malnutrition, multiple abdominal adhesions, ostomies, proteinuria >10 g/day, advanced COPD, ascites, presence of a Le Veen or ventriculo-peritoneal shunt, upper limb amputation with no help at home, poor hygiene, dementia, and those who are homeless.
What are the mechanical complications of peritoneal dialysis?
Examples of MCPD include inflow and outflow dysfunction, migration, hernias, peritoneal dialysate leakage, hydrothorax, superficial cuff extrusion, hydrothorax, external tubing break or leak and pain during dialysis.
What is the life expectancy of a peritoneal dialysis patient?
The mean patient survival time was 38.9±4.3 months, and the survival rates were 78.8%, 66.8%, 50.9% and 19.5% at 1, 2, 3 and 4 years after peritoneal dialysis initiation, respectively.
How soon can you use a peritoneal dialysis catheter?
In general, it is recommended to have the catheter placed at least two weeks before beginning PD. There is also a buried PD catheter option that can be considered by your nephrologist and surgeon which allows early placement of a PD catheter prior to use. In some cases, PD may start a few days after surgery.
Who is not a candidate for peritoneal dialysis?
Identifying Patients There are only two absolute contra-indications for peritoneal dialysis: the absence of a functional peritoneal membrane and lack of a suitable home environment.
What is the best way to disinfect the medication administration port on the PD solution bags?
13101) has shown that the Medication Port should be scrubbed with 2% chlorhexidine for at least 5 seconds; if alcohol 70% is used the length of friction should not be inferior to 10 s.
How are patients selected for Haemodialysis versus peritoneal dialysis?
The biggest difference in hemodialysis vs peritoneal dialysis is that hemodialysis requires an artificial kidney machine to filter blood while peritoneal dialysis does not. Rather than using a machine, peritoneal dialysis uses the lining on the inside of the belly as a natural filter for blood.
What are mechanical complications associated with PD catheters?
Obstruction Obstruction is another mechanical complication associated with PD catheters. Obstruction occurs when the PD catheter is placed too close to the intestine or when the catheter migrates to cause poor outflow of the dialysis solution.
Can a PD catheter be placed too close to the intestine?
Obstruction occurs when the PD catheter is placed too close to the intestine or when the catheter migrates to cause poor outflow of the dialysis solution. This complication can often be corrected by PD catheter repositioning and, in some cases, a surgical revision will be needed. (iv)
What are the noninfectious complications of Cath Eter?
Complications with an infectious cause include bacterial peritonitis, tuberculous peritonitis, and infections of the cath- eter exit site and tunnel. Noninfectious complications include catheter dysfunction, dialysate leakage, hernias, and sclerosing encapsulating peritonitis. Many imaging modalities—radiography, ultrasonography,
What are non infectious complications associated with peritoneal dialysis?
azura-logo-white TM Menu. Peritoneal dialysis (PD) is associated with a risk for infection such as peritonitis, which is inflammation of the peritoneum, or the membrane lining of the abdominal wall.