Advances in peritoneal dialysis in acute kidney injury

In the 1970s, acute peritoneal dialysis (PD) was widely accepted for the treatment of acute kidney injury (AKI), but this practice has declined in favor of extracorporeal therapies, mainly in developed world. The lack of familiarity with the use of PD in critically ill patients has also led to a lac...

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Main Authors: Daniela Ponce, Welder Zamoner, Dayana Bitencourt-Dias, Vanessa Banin, Andre Luis Balbi
Format: Article
Language:English
Published: Permanyer 2023-01-01
Series:Revista de Investigación Clínica
Subjects:
Online Access:https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=483
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author Daniela Ponce
Welder Zamoner
Dayana Bitencourt-Dias
Vanessa Banin
Andre Luis Balbi
author_facet Daniela Ponce
Welder Zamoner
Dayana Bitencourt-Dias
Vanessa Banin
Andre Luis Balbi
author_sort Daniela Ponce
collection DOAJ
description In the 1970s, acute peritoneal dialysis (PD) was widely accepted for the treatment of acute kidney injury (AKI), but this practice has declined in favor of extracorporeal therapies, mainly in developed world. The lack of familiarity with the use of PD in critically ill patients has also led to a lack of use even among those receiving maintenance PD. Renewed interest in the use of PD for AKI therapy has emerged due to its increasing use in low- and middle-income countries due to its lower cost and minimal infrastructural requirements. In high-income countries, the coronavirus disease 2019 pandemic saw PD for AKI used early on, where many critical care units were in crisis and relied on PD use when resources for other AKI therapy modalities were limited. In this review, we highlight the advantages and disadvantages of PD in AKI patients and indications and contraindications for its use. We also provide an overview of advances to support PD treatment during AKI, discussing PD access, PD prescription, complications related to PD, and its use in particular clinical conditions.
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spelling doaj.art-69d31ea556d14d58905c3e03e180c6942023-12-26T19:32:38ZengPermanyerRevista de Investigación Clínica0034-83762564-88962023-01-0175610.24875/RIC.23000205Advances in peritoneal dialysis in acute kidney injuryDaniela Ponce0Welder Zamoner1Dayana Bitencourt-Dias2Vanessa Banin3Andre Luis Balbi4School of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, BrazilSchool of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, BrazilSchool of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, BrazilSchool of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, BrazilSchool of Medicine, São Paulo State University (UNESP), Botucatu Campus, São Paulo, BrazilIn the 1970s, acute peritoneal dialysis (PD) was widely accepted for the treatment of acute kidney injury (AKI), but this practice has declined in favor of extracorporeal therapies, mainly in developed world. The lack of familiarity with the use of PD in critically ill patients has also led to a lack of use even among those receiving maintenance PD. Renewed interest in the use of PD for AKI therapy has emerged due to its increasing use in low- and middle-income countries due to its lower cost and minimal infrastructural requirements. In high-income countries, the coronavirus disease 2019 pandemic saw PD for AKI used early on, where many critical care units were in crisis and relied on PD use when resources for other AKI therapy modalities were limited. In this review, we highlight the advantages and disadvantages of PD in AKI patients and indications and contraindications for its use. We also provide an overview of advances to support PD treatment during AKI, discussing PD access, PD prescription, complications related to PD, and its use in particular clinical conditions. https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=483Peritoneal dialysis. Acute kidney injury. Critically ill patients. Dialysis.
spellingShingle Daniela Ponce
Welder Zamoner
Dayana Bitencourt-Dias
Vanessa Banin
Andre Luis Balbi
Advances in peritoneal dialysis in acute kidney injury
Revista de Investigación Clínica
Peritoneal dialysis. Acute kidney injury. Critically ill patients. Dialysis.
title Advances in peritoneal dialysis in acute kidney injury
title_full Advances in peritoneal dialysis in acute kidney injury
title_fullStr Advances in peritoneal dialysis in acute kidney injury
title_full_unstemmed Advances in peritoneal dialysis in acute kidney injury
title_short Advances in peritoneal dialysis in acute kidney injury
title_sort advances in peritoneal dialysis in acute kidney injury
topic Peritoneal dialysis. Acute kidney injury. Critically ill patients. Dialysis.
url https://www.clinicalandtranslationalinvestigation.com/frame_esp.php?id=483
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AT dayanabitencourtdias advancesinperitonealdialysisinacutekidneyinjury
AT vanessabanin advancesinperitonealdialysisinacutekidneyinjury
AT andreluisbalbi advancesinperitonealdialysisinacutekidneyinjury