Collections PD for the urgent dialysis sta...

PD for the urgent dialysis start (lecture 2015)

References to accompany the Canadian lecture series
Stephanie A Hughes, Joshua G Mendelssohn, Sheldon W Tobe, Philip A McFarlane, David C Mendelssohn
BACKGROUND: STARRT recently demonstrated that many patients experience suboptimal dialysis starts (defined as initiation as an inpatient and/or with a central venous catheter), even when followed by a nephrologist for >12 months (NDT 2011). However, STARRT did not identify the factors associated with suboptimal initiation of dialysis. The objectives of this study were to extend the results of STARRT by ascertaining the factors leading to suboptimal initiation of dialysis in patients who were referred at least 12 months prior to commencement of dialysis...
February 2013: Nephrology, Dialysis, Transplantation
A Levin
There is growing awareness of a need not only to identify patients with chronic renal failure (CRF) at an earlier stage in the disease process, but also to initiate treatment strategies earlier, in order to delay both progression of CRF and co-morbid diseases and to define the optimal time required to prepare CRF patients for renal replacement therapy (RRT). These three strategies are linked, and rely on appropriate identification of patients at risk of renal disease. The challenge currently facing nephrologists is both how to minimize the consequences of late referral and how to improve the timeliness of referral...
2000: Nephrology, Dialysis, Transplantation
Braden J Manns, Ken Taub, Carmen Vanderstraeten, Heather Jones, Cynthia Mills, Marilyn Visser, Kevin McLaughlin
BACKGROUND: Compared with in-center hemodialysis, self-care dialysis (including home and self-care hemodialysis and peritoneal dialysis) is less resource intensive and associated with similar clinical outcomes. However, utilization of self-care dialysis has been very low. We performed a randomized controlled trial in predialysis patients with chronic kidney disease (CKD) (GFR <30 mL/min) to determine the impact of a patient-centered educational intervention on patients' intention to initiate dialysis with self-care dialysis...
October 2005: Kidney International
Kulsoom Junejo, Femikemi Jeboda, Muhammed Z Chawdhery, Megan Stoby-Field, Stanley L-S Fan
No abstract text is available yet for this article.
May 2008: Peritoneal Dialysis International
Anders Danielsson, Linus Blohmé, Anders Tranaeus, Britta Hylander
OBJECTIVE: A new method for implantation of peritoneal dialysis (PD) catheters was described in 1991. The distal part of the catheter is buried subcutaneously and exteriorized at the start of PD. This study was designed to evaluate the effect of such a subcutaneous rest period on the incidence of peritonitis and exit-site infections (ESI). DESIGN: Sixty patients were randomized to either the new method (B group; n = 30) or to not having the distal part buried subcutaneously (NB group; n = 30)...
2002: Peritoneal Dialysis International
F C Prischl, M Wallner, H Kalchmair, F Povacz, R Kramar
BACKGROUND: The objectives of this open non-randomized study were to evaluate the impact of a new peritoneal catheter placement technique on catheter maintenance, and complications possibly related to the access, e.g. leakage, infectious complications, or drainage failure. METHOD: In a routine clinical setting, a two-cuff swan-neck catheter was implanted surgically, but its external segment was embedded in a subcutaneous pouch initially without exit site to enable uncontaminated wound healing and tight ingrowth of the cuffs...
August 1997: Nephrology, Dialysis, Transplantation
John H Crabtree, Raoul J Burchette
BACKGROUND: Peritoneal dialysis catheter embedment consists of implanting the catheter far in advance of anticipated need, with the external tubing buried under the skin. The catheter is externalized when initiation of dialysis is required. Details of the surgical procedure and management of associated complications are generally lacking. METHODS: A total of 84 catheters including conventional and extended catheters were embedded and externalized during the study period...
October 2013: American Journal of Surgery
Elwaleed Elhassan, Bryan McNair, Maggie Quinn, Isaac Teitelbaum
OBJECTIVE: Since 2000, we have used the Moncrief-Popovich technique as our standard method for peritoneal dialysis (PD) catheter insertion. The subcutaneous portion of the catheter is externalized immediately before initiation of PD. We undertook the present review to investigate whether duration of catheter embedment affects catheter or patient outcome. METHODS: All catheters inserted beginning 1 January 2000 and externalized by 31 December 2008 were included. The primary outcome was catheter survival...
2011: Peritoneal Dialysis International
Sandra Brum, Anabela Rodrigues, Sofia Rocha, Maria João Carvalho, Carlos Nogueira, Carlos Magalhães, Denisa Mendonça, António Cabrita
BACKGROUND: A safe and well-functioning peritoneal catheter is fundamental for adequate peritoneal dialysis (PD) treatment. Peritoneal catheter implantation by Moncrief-Popovich (MP) technique might add several clinical advantages besides allowing timely access implantation. The aim of this study was to investigate the rate of catheter-related complications and survival in a single-centre university hospital PD unit, according to the method of catheter implantation. METHODS: Four hundred and sixty-seven consecutive Tenckhoff catheters were implanted after antibiotic prophylaxis in an operating room: surgical mini-laparotomy (ML) was used in 211 (45%), Seldinger technique (S) in 76 (16%) and mini-laparotomy with MP method in 180 (38...
September 2010: Nephrology, Dialysis, Transplantation
J H M Tordoir, R Dammers, F M van der Sande
Digital ischemia in dialysis patients due to arteriovenous fistulas (AVF) is a rare condition, occurring in 4% of patients. The etiology is different from lower limb ischemia. Blood shunting through the AVF may cause stealing of blood and hypoperfusion in distal tissues, leading to pain, discolorisation and ulcers. High-flow AVFs have greater risk on ischemia than normal flow AVFs, however combined with peripheral arteriosclerotic disease the latter may also leads to ischemia. A non-invasive and angiographic diagnosis is of importance to determine treatment options...
January 2004: European Journal of Vascular and Endovascular Surgery
Ahmed A Al-Jaishi, Matthew J Oliver, Sonia M Thomas, Charmaine E Lok, Joyce C Zhang, Amit X Garg, Sarah D Kosa, Robert R Quinn, Louise M Moist
BACKGROUND: Advantages of the arteriovenous fistula (AVF), including long patency and few complications, were ascertained more than 2 decades ago and may not apply to the contemporary dialysis population. STUDY DESIGN: Systematic review and meta-analysis. Estimates were pooled using a random-effects model and sources of heterogeneity were explored using metaregression. SETTING & POPULATION: Patients treated with long-term hemodialysis using an AVF...
March 2014: American Journal of Kidney Diseases
Matthew J Oliver, Mauro Verrelli, James M Zacharias, Peter G Blake, Amit X Garg, John F Johnson, Sanjay Pandeya, Jeffery Perl, Alex J Kiss, Robert R Quinn
BACKGROUND: Patients choosing between hemodialysis (HD) and peritoneal dialysis (PD) should be well informed of the risks and benefits of each modality. Invasive access interventions are important outcomes because frequent interventions lower patient's quality of life and consume limited resources. The objective of this study was to compare the risk of access interventions between the two modalities. METHODS: Three hundred and sixty-nine incident chronic dialysis patients were prospectively enrolled at four Canadian centers that were eligible for both modalities, received at least 4 months of pre-dialysis care and started dialysis electively as an outpatient...
February 2012: Nephrology, Dialysis, Transplantation
Laura M Dember, Gerald J Beck, Michael Allon, James A Delmez, Bradley S Dixon, Arthur Greenberg, Jonathan Himmelfarb, Miguel A Vazquez, Jennifer J Gassman, Tom Greene, Milena K Radeva, Gregory L Braden, T Alp Ikizler, Michael V Rocco, Ingemar J Davidson, James S Kaufman, Catherine M Meyers, John W Kusek, Harold I Feldman
CONTEXT: The arteriovenous fistula is the preferred type of vascular access for hemodialysis because of lower thrombosis and infection rates and lower health care expenditures compared with synthetic grafts or central venous catheters. Early failure of fistulas due to thrombosis or inadequate maturation is a barrier to increasing the prevalence of fistulas among patients treated with hemodialysis. Small, inconclusive trials have suggested that antiplatelet agents may reduce thrombosis of new fistulas...
May 14, 2008: JAMA
B B McCormick, P A Brown, G Knoll, J D Yelle, D Page, M Biyani, S Lavoie
Since 2000, the Ottawa Hospital Home Dialysis Program has used a variation on the embedded peritoneal dialysis catheter technique described by Moncrief et al. In this paper, we describe our approach to placement of peritoneal access and report our experience with 304 embedded catheters placed between January 2000 and December 2003. We review the advantages and disadvantages of this technique and describe factors that have been important to the success of our program.
November 2006: Kidney International. Supplement
Pierre Antoine Brown, Brendan B McCormick, Greg Knoll, Yinghua Su, Steve Doucette, Dean Fergusson, Susan Lavoie
BACKGROUND: Our centre uses a modification of the Moncrief technique of embedding peritoneal dialysis (PD) catheters. We undertook this study to test the hypothesis that catheter survival on PD is a function of the time a catheter is left embedded prior to use. METHODS: Data were retrospectively abstracted from review of patient records of those who received a first PD catheter over a 5-year period. Patients were divided into tertiles based on the number of days between insertion of the catheter and exteriorization to create three equal groups representing early (group 1, 11-47 days), mid (group 2, 48-133 days) and late (group 3, 134-2041 days) exteriorization strategies...
July 2008: Nephrology, Dialysis, Transplantation
J H Crabtree
Many burdensome interventions that adversely affect the utilization of peritoneal dialysis as renal replacement therapy and patient satisfaction with this treatment modality can be avoided by early peritoneal access placement with embedded catheters, implantation techniques that preempt common catheter complications, and the use of access devices that provide flexibility in exit site location. Catheter embedding consists of subcutaneously burying the external limb of the catheter tubing at the time of the insertion procedure...
November 2006: Kidney International. Supplement
Michael Koch, Matthias Kohnle, Rudolf Trapp, Burkhard Haastert, Lars Christian Rump, Sendogan Aker
BACKGROUND: The impact of dialysis modality on outcome, especially on infection early in the course of dialysis, in unplanned acute dialysis initiation has not been well evaluated. The aim of the study was to compare the rates and causes of mortality and morbidity in incident dialysis patients started unplanned acute peritoneal dialysis (PD) or haemodialysis (HD). PATIENTS AND METHODS: In this observational cohort study, incident dialysis patients with initiation of unplanned and acute PD (n = 66) or HD (n = 57) at a single centre from March 2005 to June 2010 were included and followed up for 6 months (0-183 days, mean follow-up time 4...
January 2012: Nephrology, Dialysis, Transplantation
Alberto Casaretto, Reinaldo Rosario, Wayne R Kotzker, Yaselly Pagan-Rosario, Cheryl Groenhoff, Steven Guest
Urgent-start peritoneal dialysis (PD) can be defined as initiation of PD within 2 weeks of catheter insertion. Urgent-start PD can be offered to patients who are referred late to a nephrologist and who would typically be initiated on hemodialysis with a temporary vascular access. An urgent-start PD capability requires expedited options education, catheter placement, unique change in the PD unit infrastructure, and new processes of care. This report describes the urgent-start PD program established by a nephrology private practice in the United States...
2012: Advances in Peritoneal Dialysis
Ya-Fei Yang, Huang-Joe Wang, Chin-Chung Yeh, Hsin-Hung Lin, Chiu-Ching Huang
BACKGROUND: Nephrologists commonly recommend continuous ambulatory peritoneal dialysis (CAPD) with break-in periods of at least 2 weeks. We investigated the safety and feasibility of shorter break-in periods following surgical implantation of Tenckhoff catheters. METHODS: We retrospectively examined 310 patients that underwent Tenckhoff catheter implantation for the first time. The early group comprised 226 patients that started CAPD ≤ 14 days after implantation; the late group comprised 84 patients that started CAPD > 14 days after implantation...
September 2011: Peritoneal Dialysis International
Thierry Lobbedez, Angelique Lecouf, Maxence Ficheux, Patrick Henri, Bruno Hurault de Ligny, Jean-Philippe Ryckelynck
BACKGROUND: Starting dialysis in an unplanned manner is a frequent situation in a dialysis centre even for patients with a regular nephrology follow-up. For no clear reason, chronic haemodialysis (HD) is more frequently used than peritoneal dialysis for unplanned dialysis patients. OBJECTIVE: The purpose of this study was to evaluate the results of a dialysis policy dedicated to unplanned dialysis patients. The aim of this policy was to increase the use of peritoneal dialysis (PD) in an attempt to reduce the need for tunnelled catheter...
October 2008: Nephrology, Dialysis, Transplantation
2015-03-26 05:38:14
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.