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Peritoneal Dialysis
Dialyses Peritoneal

Images

WIKIDATA, Public Domain
WIKIDATA, CC BY 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0
WIKIDATA, CC BY-SA 3.0

Presentation

We present a case of aortic dissection with an atypical presentation in a peritoneal dialysis patient, and the challenges met with peritoneal dialysis. [ncbi.nlm.nih.gov]

Respiratoric

  • Pleural Effusion

    One patient was transferred to hemodialysis, which led to complete resolution of pleural effusion. The other patient was switched to automated peritoneal dialysis, using small dwell volumes with consequent reduction in size of the pleural effusion. [ncbi.nlm.nih.gov]

    In addition, the clinical manifestations of systemic venous congestion, including accumulation of fluid outside the lungs (elevated jugular venous pressure, pleural effusions, hepatic enlargement, ascites and oedema) are leading reasons for hospital admission [karger.com]

Workup

Pleura

  • Pleural Effusion

    One patient was transferred to hemodialysis, which led to complete resolution of pleural effusion. The other patient was switched to automated peritoneal dialysis, using small dwell volumes with consequent reduction in size of the pleural effusion. [ncbi.nlm.nih.gov]

    In addition, the clinical manifestations of systemic venous congestion, including accumulation of fluid outside the lungs (elevated jugular venous pressure, pleural effusions, hepatic enlargement, ascites and oedema) are leading reasons for hospital admission [karger.com]

Treatment

The treatment of PD peritonitis consists mainly of antibiotic therapy, surgical intervention not being usually required. [ncbi.nlm.nih.gov]

Antifungal versus placebo/no treatment [doi.org]

Prognosis

This case demonstrates that proactive combination therapy can be extremely useful for preserving both RRF and peritoneal function, indicating a good prognosis. [ncbi.nlm.nih.gov]

Two patients fully recovered, one died, and one patient with a poor prognosis was lost to follow-up. Conclusion: IPD can be delivered effectively using readily available materials in forward surgical units and level III combat support hospitals. [doi.org]

Etiology

We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1.5 years apart, with different underlying etiologies. [ncbi.nlm.nih.gov]

Three recent case-control studies, one each from the United Kingdom, France, and Hong Kong, have shown no increased risk for infections in patients with PKD compared to patients with ESRD from other etiologies. [renalandurologynews.com]

Among 18 patients in which omental wrapping was observed to be the etiology for catheter malfunction, two failures were observed. [sages.org]

Epidemiology

We present a case of PDRP due to M. paraoxydans and review the epidemiology, clinical manifestations, and available evidence for treatment of this organism. [ncbi.nlm.nih.gov]

An increasing number of national and international renal registries have provided valuable demographic and epidemiologic information on renal patients since the first report of the European Dialysis and Transplant Association (EDTA) was published in 1965 [doi.org]

Pathophysiology

The results suggest that hepcidin may be involved in the pathophysiology of atherosclerosis. Prospective studies should be carried out in this patient population to determine whether hepcidin has an effect on atherosclerosis. [ncbi.nlm.nih.gov]

There are excellent reviews in the literature that discuss the causes, pathophysiology, and medical management of acute renal failure in the neonate (see Acute Renal Failure Management in the Neonate in this issue of NeoReviews ). [neoreviews.aappublications.org]

The pathophysiology of heart failure is complex, and there are multiple ways in which the heart and kidneys interact in the setting of myocardial dysfunction. [karger.com]

Prevention

Guidelines on antimicrobial interventions to prevent peritonitis in PD Table 2. [doi.org]

Complications of renal failure may prevent timely evacuation of injured soldiers. Conventional renal replacement therapy is not available in forward surgical units. [ncbi.nlm.nih.gov]

The tubing from the bag should be placed below into the drain or below the surface of the water to prevent splashing while the bag drains (11). [cdc.gov]

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