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Technical aspects of the peritoneal dialysis procedure

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Pediatric Dialysis

Abstract

Since 1978, when peritoneal dialysis (PD) was first introduced for the treatment of pediatric patients with end-stage renal failure (ESRF), a series of technological improvements have been incorporated into the PD procedure. Important results were obtained in the safety and ease of use of the mechanical devices employed in the dialysis exchanges, as well as in the dialytic efficacy and bio-compatibility of the PD solutions. More recently, the revolution in the fields of electronics and computer science generated a series of automated delivery systems (the cyclers), that allow great prescription flexibility, as well as the monitoring of therapy results and of patient’s compliance.

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References

  1. Oreopoulos DG, Robson MD, Izarr S. A simple and safe technique for continuous ambulatory peritoneal dialysis (CAPD). Trans Am Soc Artif Internal Organs. 1978;24:484.

    CAS  Google Scholar 

  2. Buoncristiani U, Bianchi P, Cozzani M et al. A new safe, simple connection system for CAPD. Int J Urol Androl. 1980;1:50.

    Google Scholar 

  3. Churchill DN, Taylor DW, Vas SI, Oreopulos DG, Bettcher KB, Fenton SSA et al Peritonitis in continuous ambulatory peritoneal dialysis (CAPD): a multicentre randomized clinical trial comparing the Y connector disinfectant system to standard systems. Perit Dial Int. 1989;9:159–63.

    Google Scholar 

  4. Bazzato G, Landini S, Coli U et al A new technique of continuous ambulatory peritoneal dialysis (CAPD): double bag system for freedom to the patient and significant reduction of peritonitis. Clin Nephrol. 1980;13:251.

    PubMed  CAS  Google Scholar 

  5. Honda M. The 1997 report of the Japanese National Registry data on pediatric peritoneal dialysis patients. Perit Dial Int. 1999;19:S473–8.

    PubMed  Google Scholar 

  6. Holmes CJ, Shockley TR. Strategies to reduce glucose exposure in peritoneal dialysis patients. Perit Dial Int. 2000;20:S37–41.

    PubMed  Google Scholar 

  7. Schröder C. The choice of dialysis solutions in pediatric chronic peritoneal dialysis: guidelines by an ad hoc European Committee. Perit Dial Int. 2001;21:568–74.

    PubMed  Google Scholar 

  8. Mistry CD, Gokal R, Peers E. Midas Study Group: A randomized multicenter clinical trial comparing isoosmolar icodextrin with hyperosmolar glucose solution in CAPD. Kidney Int. 1994;46:496–503.

    Article  PubMed  CAS  Google Scholar 

  9. Verrina E, Amici G, Perfumo F, Trivelli A. Evaluation of icodextrin absorption and ultrafiltration (UF) curve over a long day dwell in children on continuous cycling peritoneal dialysis. Perit Dial Int. 2001;21(Suppl. 1):S93 (abstract).

    Google Scholar 

  10. de Boer AW, Schröder CH, van Vliet R, Willems JL, Monnens LAH. Clinical experience with icodextrin in children: ultrafiltration profiles and metabolism. Pediatr Nephrol. 2000;15:21–24.

    Article  PubMed  Google Scholar 

  11. Cooker LA, Holmes CJ, Hoff CM. Biocompatibility of icodextrin. Kidney Int. 2002;62(Suppl 81):S34–45.

    Article  Google Scholar 

  12. Canepa A, Carrea A, Menoni S, Verrina E, Trivelli A, Gusmano R et al. Acute effects of simultaneous intraperitoneal infusion of glucose and amino acids. Kidney Int. 2001;59:1967–73.

    Article  PubMed  CAS  Google Scholar 

  13. Canepa A, Perfumo F, Carrea A, Giallongo F, Verrina E, Cantaluppi A. Long term effect of amino acid dialysis solution in children on continuous ambulatory peritoneal dialysis. Pediatr Nephrol. 1991;5:215–9.

    Article  PubMed  CAS  Google Scholar 

  14. Canepa A, Verrina E, Perfumo F, Carrea A, Menoni S, Delucchi P et al. Value of intraperitoneal amino acids in children treated with chronic peritoneal dialysis. Perit Dial Int. 1999;19(Suppl 2):S435–40.

    PubMed  Google Scholar 

  15. Garibotto G, Sofia A, Canepa A, Saffioti S, Sacco P, Sala MR et al. Acute effects of peritoneal dialysis with dialysates containing dextrose or dextrose and amino acids on muscle protein turnover in patients on chronic renal failure. J Am Soc Nephrol. 2001; 12:557–67.

    PubMed  CAS  Google Scholar 

  16. Topley N, Kaur D, Petersen MM, Jorres A, Williams JD, Faict D et al. In vitro effects of bicarbonate and bicarbonate-lactate buffered peritoneal dialysis solutions on mesothelial and neutrophil function. J Am Soc Nephrol. 1996;7:218–24.

    PubMed  CAS  Google Scholar 

  17. Jörres A, Bender TO, Finn A, Witowski J, Frölich S, Gahl GM et al. Biocompatibility and buffers: effect of bicarbonate-buffered peritoneal dialysis fluids on peritoneal cell function. Kidney Int. 1998;54:2184–93.

    Article  PubMed  Google Scholar 

  18. Mackenzie RK, Jones S, Moseley A, Holmes CJ, Argyle R, Williams JD et al. In vivo exposure to bicarbonate/lactate-and bicarbonate-buffered peritoneal dialysis fluids improves ex vivo peritoneal macrophage function. Am J Kidney Dis. 2000;35:112–21.

    Article  PubMed  CAS  Google Scholar 

  19. Jones S, Holmes CJ, Krediet RT, Mackenzie R, Faict D, Tranaeus A et al. Bicarbonate/lactate-based peritoneal dialysis solution increases cancer antigen 125 and decreases hyaluronic acid levels. Kidney Int. 2001;59:1529–38.

    Article  PubMed  CAS  Google Scholar 

  20. Mactier BA, Sprosen TS, Gokal R, Williams PF, Lindbergh M, Naik RB et al. Bicarbonate and bicarbonate/lactate peritoneal dialysis solutions for the treatment of infusion pain. Kidney Int. 1998;53:1061–67.

    Article  PubMed  CAS  Google Scholar 

  21. Coles GA, O’Donoghue, DJ, Pritchard N, Ogg CS, Jani FM, Gokal R et al. A controlled trial of two bicarbonate-containing dialysis fluids for CAPD-final report. Nephrol Dial Transplant. 1998;13:3165–71.

    Article  PubMed  CAS  Google Scholar 

  22. Schmitt CP, Haraldsson B, Doetschmann R, Zimmering M, Greiner C, Böswald M et al. Effects of pH-neutral, bicarbonate-buffered dialysis fluid on peritoneal transport kinetics in children. Kidney Int. 2002;61:1527–36.

    Article  PubMed  Google Scholar 

  23. Canepa A, Verrina E, Trivelli A, Menoni S, Carrea A, Gusmano R et al. Comparison of peritoneal amino acid (AA) losses in children using automated peritoneal dialysis (APD) with lactate or bicarbonate/lactate-based solutions. Perit Dial Int. 2000;20(Suppl 1):S91 (abstract).

    Google Scholar 

  24. Krediet RT, Struijk DG. Sodium content in automated peritoneal dialysis solutions. In: Ronco C, Amici G, Feriani M, and Virga G (editors). Automated Peritoneal Dialysis. Basel: Karger, 1999: pp. 162–7.

    Chapter  Google Scholar 

  25. Diaz-Buxo JA. Automated peritoneal dialysis. A therapy in evolution. In: Ronco C, Amici G, Feriani M, and Virga G. (editors). Automated Peritoneal Dialysis. Basel: Karger, 1999: pp. 1–14.

    Chapter  Google Scholar 

  26. Lerner GR, Warady BA, Sullivan EK, Alexander SR. Chronic dialysis in children and adolescents. The 1996 annual report of the North American Pediatric Renal Transplant Coopertive Study. Pediatr Nephrol. 1999;13:404–17.

    Article  PubMed  CAS  Google Scholar 

  27. Verrina E, Zacchello G, Edefonti A, Sorino P, Rinaldi S, Gianoglio B et al. A multicenter survey on automated peritoneal dialysis prescription in children. Adv Perit Dial. 2001;17:264–68.

    PubMed  CAS  Google Scholar 

  28. Twardowski ZJ. Peritoneal dialysis glossary III. Adv Perit Dial. 1992;8:47–9.

    Google Scholar 

  29. Fischbach M, Stefanidis CJ, Watson AR. Guidelines by an ad hoc European Committee on adequacy of the paeditric peritoneal dialysis prescription. Nephrol Dial Transplant. 2002;17:380–85.

    Article  PubMed  Google Scholar 

  30. Warady BA, Alexander SR, Hossliss SR, Vonesh E, Geary D, Watkins S et al. Peritoneal membrane transport function in children receiving long-term dialysis. J Am Soc Nephrol. 1996;7:2385–92.

    PubMed  CAS  Google Scholar 

  31. Fischbach M, Terzic J, Gaugler C, Bergere V, Munch K, Hamel G. Impact of an increased intraperitoneal fill volume both on tolerance and dialysis effectiveness in children. Adv Perit Dial. 1998;14:258–64.

    PubMed  CAS  Google Scholar 

  32. Fischbach M, Terzic J, Menouer S, Bergere V, Ferjani L, Haraldsson B. Impact of fill volume changes on peritoneal dialysis and tolerance in children. Adv Perit Dial. 2000;16:320–3.

    Google Scholar 

  33. Keshaviah P, Emerson PF, Vonesh EF, Brandes JC. Relationship between body size, fill volume and mass transfer area coefficient in peritoneal dialysis. J Am Soc Nephrol. 1994;4:1820–26.

    PubMed  CAS  Google Scholar 

  34. Fischbach M, Haraldsson B. Dynamic changes of the total pore area available for peritoneal exchange in children. J Am Soc Nephrol. 2001;12:1524–29.

    PubMed  CAS  Google Scholar 

  35. Schaefer F, Haraldsson B, Haas S, Simkova E, Feber J, Mehls O. Estimation of peritoneal mass transport by three-pore model in children. Kidney Int. 1998;54:1372–79.

    Article  PubMed  CAS  Google Scholar 

  36. Warady BA, Watkins SL, Fivush BA, Andreoli SP, Salusky I, Koaut EC et al Validation of PD Adequest 2.0 for pediatric dialysis patients. Pediatr Nephrol. 2001;16:205–11.

    Article  PubMed  CAS  Google Scholar 

  37. Abu-Alfa AK, Burkhart J, Piraino B, Pulliam J, Mujais S. Approach to fluid management in peritoneal dialysis. A practical algorithm. Kidney Int. 2002;62(Suppl 81):S8–16.

    Google Scholar 

  38. Freida P, Issad B. Continuous cyclic peritoneal dialysis prescription and power. In: Ronco C, Amici G, Feriani M, Virga G (editors). Automated Peritoneal Dialysis. Basel: Karger, 1999: pp. 98–108.

    Chapter  Google Scholar 

  39. Diaz-Buzo JA. Continuous cycling peritoneal dialysis, PD Plus, and high-flow automated peritoneal dialysis: a spectrum of therapies. Perit Dial Int. 2000;20(Suppl 2):S93–97.

    Google Scholar 

  40. Amici G. Solute kinetics in automated peritoneal dialysis. Perit Dial Int. 2000;20(Suppl 2):S77–82.

    PubMed  Google Scholar 

  41. Mujais S, Vonesh E. Profiling of peritoneal ultrafiltration. Kidney Int. 2002;62(Suppl 81):S17–S22.

    Article  Google Scholar 

  42. Edefonti A, Consalvo G, Picca, M, Giani M, Damiani B, Ghio L et al Dialysis delivery in children in nightly intermittent and tidal peritoneal dialysis. Pediatr Nephrol. 1995;9:329–32.

    Article  PubMed  CAS  Google Scholar 

  43. Hölttä T, Rönnholm K, Holmberg C. Adequacy of dialysis with tidal and continuous cycling peritoneal dialysis in children. Nephrol Dial Transplant. 2000; 15:1438–42.

    Article  PubMed  Google Scholar 

  44. Amici G. Continuous tidal peritoneal dialysis. Prescription and power. In: Ronco C, Amici G, Feriani G. Virga (editors). Automated Peritoneal Dialysis. Basel: Karger, 1999: pp. 134–41.

    Chapter  Google Scholar 

  45. Brandes JC, Packard WJ, Watters SK, Fritsche C. Optimization of dialysate flow and mass transfer during automated peritoneal dialysis. Am J Kidney Dis. 1998;25:603–10.

    Article  Google Scholar 

  46. Ronco C, Dell’Aquila R. Continuous flow peritoneal dialysis. Perit Dial Int. 2001;21(Suppl 3):S138–43.

    PubMed  Google Scholar 

  47. Edefonti A, Consalvo G, Pappalettera M. Infectious complications in paediatric patients treated with chronic peritoneal dialysis (CPD). Perit Dial Int. 1996;16:S543–7.

    PubMed  Google Scholar 

  48. Diaz-Buxo JA, Crawford TL, Bailie GR. Peritonitis in automated peritoneal dialysis: antibiotic therapy and pharmacokinetics. Perit Dial Int. 2001;21(Suppl 3):S197–S201.

    PubMed  Google Scholar 

  49. Alflaiw A, Vas S, Oreopoulos D. Peritonitis in patients on automated peritoneal dialysis. In: Ronco, Amici G, Feriani M, Virga G (editors). Automated Peritoneal Dialysis. Basel: Karger, 1998: pp. 213–28.

    Google Scholar 

  50. Warady BA, Schaefer F, Holloway M, Alexander S, Kandert M, Piraino B et al xConsensus guidelines for the treatment of peritonitis in pediatric patients receiving peritoneal dialysis. Perit Dial Int. 2000;20:610–24.

    PubMed  CAS  Google Scholar 

  51. Krediet R, Mujais S. Use of icodextrin in high transport ultrafiltration failure. Kideny Int. 2002;62(Suppl 81):S53–61.

    Article  Google Scholar 

  52. Ronco C, Brendolan A, Zanella M. Evolution of machines for automated peritoneal dialysis. In: Ronco C, Amici G, Feriani M, Virga G (editors). Automated Peritoneal Dialysis. Basel: Karger, 1999: pp. 142–61.

    Chapter  Google Scholar 

  53. Edefonti A, Boccola S, Picca M, Paglialonga F, Ardissino A, Marra G et al Treatment data during pediatric home peritoneal teledialysis. Pediatr Nephrol. 2003;18:560–4.

    PubMed  Google Scholar 

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Authors
  1. E. Verrina
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  2. F. Perfumo
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Editor information

Editors and Affiliations

  1. Children’s Mercy Hospital, University of Missouri, Kansas City School of Medicine, Kansas City, MO, USA

    Bradley A. Warady

  2. University Children’s Hospital, Heidelberg, Germany

    Franz S. Schaefer

  3. Health Science Center, State University of New York at Stony Brook, Stony Brook, NY, USA

    Richard N. Fine

  4. Lucille Packard Children’s Hospital at Stanford, Stanford University, School of Medicine, Stanford, CA, USA

    Steven R. Alexander

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© 2004 Springer Science+Business Media Dordrecht

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Verrina, E., Perfumo, F. (2004). Technical aspects of the peritoneal dialysis procedure. In: Warady, B.A., Schaefer, F.S., Fine, R.N., Alexander, S.R. (eds) Pediatric Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1031-3_8

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  • DOI: https://doi.org/10.1007/978-94-007-1031-3_8

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3770-9

  • Online ISBN: 978-94-007-1031-3

  • eBook Packages: Springer Book Archive

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