RESEARCH ARTICLE


Manual Acute PD with Rigid Catheters: A Relook



Mayoor V Prabhu*, 1, Subhramanyam S.V2, Sinoj Antony 2, Nayak K.S2
1 1Department of Nephrology, Kasturba Medical College, Mangalore (Manipal University) 575003, India
2 2Deccan Hospital, Somajiguda, Hyderabad (AP), India


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© Prabhu et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Nephrology, Kasturba Medical College, Mangalore 575003, India; Tel: +918242444590; E-mail: drprabhunephro@gmail.com


Abstract

Peritoneal Dialysis (PD) has been an underutilized modality in the treatment of Acute Kidney Injury (AKI). Concerns regarding clearance, fluid removal, infection, complications of therapy, and the hypercatabolic state of AKI has led to PD falling into disrepute. Recent studies have challenged this notion of ineffectiveness. The lower cost, and simplicity of the procedure makes it a particularly attractive option for the developing world which may lack even basic HD facilities, and patients continue to die for want of Renal Replacement Therapy (RRT). We present a review of the available literature about PD in the AKI setting with special reference to the developing world, including the procedure, costs, and effectiveness of the treatment. We also describe the procedure in detail to help ‘hand hold’ physicians interested in performing this lifesaving procedure.

Keywords: Acute PD, AKI, developing countries, PD, RRT.