CAPD on Alternate Days

  • A. Trevino-Becerra
  • A. G. Valencia


Four patients, (previously on CAPD for a mean of 16 months during a patient experience of 36 months \( (\bar{X}9) \), were treated with CAPD-A that consist of four exchanges in 24 hours and for the next day only one exchange in 24 hours. Comparison of average results obtained: Glucose: CAPD, 82.5 ± 6.0 mg/dl; CAPD-A 65.0 ± 2.0 mg/dl; Albumin: CAPD 3.3 ± 0.31 g/dl; CAPD-A 3.9 ± 0.36 g/dl; CO 2: CAPD, 29.6 ± 1.5 mEq/1, CAPD-A 25.7 ± 1.03 mEq/L.With CAPD, the peritonitis rate was 3.25 per patient, one infection every 4 months. With CAPD-A only one patient had peritonitis twice in 7.7 months and two patients remained infection free. Infection rate decreased 0.6 infections/patient/year. Levels of urea, Cr., uric acid, Hb., HCT., Na., K., Cl., Ca. and blood pressure were similar with both methods. There was 1.0 g protein increase with CAPD-A.

CAPD-A is a useful procedure to correct CAPD complications. Fewer exchanges leave the patient free for 24 hours every third day and there is a reduction in the amount of dialysis solution by one third.


Uric Acid Peritoneal Dialysis Continuous Ambulatory Peritoneal Dialysis Dialysis Solution Chronic Renal Failure Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Popovich RP, Moncrif JW, Nolph KD, Ghods AJ, Twardowski ZJ, and Pyle WK: Continuous ambulatory peritoneal dialysis. Ann Intern Med 88: 449, 1978PubMedCrossRefGoogle Scholar
  2. 2.
    Robson MD, Oreopoulos DG, Clayton S, Izett S, Rapoport A, and deVeber GA: Comparison of intermittent with continuous perioneal dialysis. Proc Eur Dial Transplant Assoc 15: 197, 1978PubMedGoogle Scholar
  3. 3.
    Prowant B, Ryan L, and Nolph KD: Six years of experience with perionitis in a CAPD Program. Peritoneal Dial Bull 3: 199, 1983Google Scholar
  4. 4.
    Prowant B, and Nolph KD: Five years’ experience with peritonitis in CAPD program. Peritoneal Dial Bull 2: 169, 1982Google Scholar
  5. 5.
    Wu G: A review of peritonitis episodes that caused interruption of CAPD. Peritoneal Dial Bull (Suppl 3 ): S11, 1983Google Scholar
  6. 6.
    Cantarovich F, Perez LJ, Chena C, Wilberg R, Ver-netti J, Correa C, and Tizado J: CAPD-3 daily exchanges, In Moncrief JW, and Popovich RP (Eds), CAPD update. New York, Paris: Masson Publishing, 1981,p 117Google Scholar
  7. 7.
    Forbes AM, Reed V, and Goldsmith HJ: CAPD-A Scheme to allow reduction of daily bag exchange. Clin Nephrol 15: 264, 1981PubMedGoogle Scholar
  8. 8.
    Twardowski ZJ, Prowant BF, Nolph KD, Martinez AJ, and Lamoton LM: High volume low frequency continuous ambulatory peritoneal dialysis. Kidney Int 23: 64, 1983PubMedCrossRefGoogle Scholar
  9. 9.
    Diaz-Buxo JA, Farmer CD, Walker PJ, Chandler JT, and Holt KL: Continuous cyclic peritoneal dialysis: A preliminary report. Artif Organs 5: 157, 1981PubMedCrossRefGoogle Scholar
  10. 10.
    Slingeneyer A, Mion C, and Selem JL: Home intermittent (IPD) and continuous ambulatory peritoneal dialysis (CAPD) as a long term treatment of end-stage renal failure in diabetics. In Gahl GM, Kessel M, and Nolph KD, (Eds), Advances in peritoneal dialysis: Proceeding of the 2nd international symposium on peritoneal dialysis. Amsterdam: Excerpta Medica, 1981, p 378Google Scholar
  11. 11.
    Faller B, and Marichal JF: Loss of ultrafiltration in continuous ambulatory peritoneal dialysis: A role for acetate. Peritoneal Dial Bull 4: 10, 1984Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • A. Trevino-Becerra
    • 1
  • A. G. Valencia
    • 1
  1. 1.Nephrology Department, Specialties Hospital, “La Raza” Medical CenterIMSSMexico

Personalised recommendations