However, peritoneal dialysis requires much more patient involvement than in-center hemodialysis. Maintaining sterile technique is important. Of the total estimated resting splanchnic blood flow of 1200 mL/minute, only about 70 mL/minute comes into contact with the peritoneum, so solute equilibration occurs much more slowly than in hemodialysis. But because solute and water clearance is a function of contact time and peritoneal dialysis is done nearly continuously, efficacy in terms of solute ... Peritoneal dialysis (PD) accounts for a small percentage (less than 7%) of the prevalent dialysis population in the United States compared to Canada (more than 50%). Better early survival on PD compared to hemodialysis (HD) has also been reported by several observational studies, including national registries from different parts of the world. The cost of HD per patient per year remains significantly higher than for PD ($87,945 for HD versus $71,630 for PD in 2011). Patients have a choice ... Peritoneal dialysis requires intraperitoneal access, usually via a soft silicone rubber or porous polyurethane catheter. The catheter may be implanted in the operating room under direct visualization or at the bedside by blind insertion of a trocar or under visualization through a peritoneoscope. Most catheters incorporate a polyester fabric cuff that allows tissue ingrowth from the skin or preperitoneal fascia, ideally resulting in a watertight, bacteria-impervious seal and preventing ... Discover the benefits of peritoneal dialysis (PD), and how it compares to haemodialysis (HD), helping you make an informed choice about your kidney care while working and maintaining your lifestyle.
