Urgent-start peritoneal dialysis

Julian Yaxley; Tahira Scott

doi:10.1016/j.nefroe.2022.05.010

Urgent-start peritoneal dialysis

Nefrologia (Engl Ed). 2023 May-Jun;43(3):293-301. doi: 10.1016/j.nefroe.2022.05.010. Epub 2022 Dec 12.

Authors

Julian Yaxley¹, Tahira Scott²

Affiliations

¹ Department of Nephrology, Cairns Hospital, Cairns, Queensland, Australia; Department of Nephrology, Gold Coast University Hospital, Southport, Queensland, Australia; Department of Intensive Care Medicine, Gold Coast University Hospital, Southport, Queensland, Australia. Electronic address: julianyaxley@yahoo.com.au.
² Department of Nephrology, Cairns Hospital, Cairns, Queensland, Australia; Department of Nephrology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.

PMID: 36517362
DOI: 10.1016/j.nefroe.2022.05.010

Abstract

Peritoneal dialysis is an important form of kidney replacement therapy. Most patients presenting with an unplanned, urgent need for dialysis are prescribed haemodialysis, leading to peritoneal dialysis underutilisation. Urgent-start peritoneal dialysis refers to treatment that is commenced within 2 weeks of catheter placement. Urgent-start peritoneal dialysis represents an efficacious, cost-effective alternative to the conventional approach of commencing dialysis. There is a paucity of evidence to guide management, however experience with the technique is increasing. This article overviews the rationale and practical application of urgent-start peritoneal dialysis.

Keywords: Acute kidney injury; Diálisis peritoneal; End-stage kidney disease; Enfermedad renal en etapa terminal; Inicio urgente; Lesión Renal Aguda; Peritoneal dialysis; Urgent-start.

Publication types

Review