PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 15384788

Continuous-flow peritoneal dialysis: update.

Jose A Diaz-Buxo
View original source ↗Export metadata ↓

Abstract

The theoretical constructs of and limited clinical experiments with, continuous flow peritoneal dialysis (CFPD) are very promising. Specifically, removal of small molecular solutes has been shown to approximate that with quotidian hemodialysis. However progress has been slow because of the lack of an adequate peritoneal access device and the high cost of peritoneal dialysis (PD) solution generation. Several novel designs for CFPD catheters have been introduced during the past year. Those designs may solve some of the problems of fluid mixing and recirculation. This review of the past and latest developments in CFPD identifies the factors that limit the widespread use of this promising therapy.

Explore related subjects

Catheters, IndwellingEquipment DesignHemodialysis SolutionsHumansPeritoneal Dialysis, Continuous AmbulatoryJournal ArticleReview

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Jose A Diaz-Buxo. 2004. Continuous-flow peritoneal dialysis: update.. https://pubmed.ncbi.nlm.nih.gov/15384788/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

The role of surgery in the management of septic shock--extra-abdominal causes of sepsis.

Septic shock is a severe inflammatory response to one or more pathogenic micro-organisms. When a person's immune response is excessively intense, a cascade of phenomena may be activated that ultimately is harmful. Appropriate management of septic shock may include surgical intervention to remove or neutralize the septic focus in an effort to treat the inflammatory response cascade. This is the first of two articles presenting current information on the role of surgery in the management of a patient with septic shock. This article describes extra-abdominal sources of sepsis.

Catheters, Indwelling↗
PubMed2007

Compatibility of electrolytically produced sodium hypochlorite solutions on long- term implanted dialysis catheters.

More than 20% of the world's population use a catheter for dialysis, despite guidelines limiting their use. Although the structure and design of the catheters differ by manufacturer, the material used in central venous catheters and peritoneal dialysis catheters are the same across manufacturers. Given the long-term use of these catheters in the dialysis population, the good compatibility of the antiseptics and disinfectants used on the catheters is imperative to prevent failure and cracking of the catheter material. Tensile strengths of commercially available catheters were measured after exposure to commonly used disinfectants. The tensile strength was then compared between the catheters by analyzing the displacement vs. force (N) curves produced during the evaluation. A total of 44 catheter lumens were evaluated. The electrolytically produced sodium hypochlorite solution, Alcavis 50/ExSept Plus, was the only solution shown to be compatible with all three catheter materials resulting in a deviation of less than 10% for each of the different catheter types. Electrolytically produced sodium hypochlorite solutions were the only solutions in this study that did not alter the physical properties of any of the catheters after long-term exposure.

Catheters, Indwelling↗