Use of Peritoneal Dialysis in Acute Kidney Injury: How Far Away?

Zhikai Yang; Jie Dong; Li Yang

doi:10.1016/j.semnephrol.2020.08.007

Use of Peritoneal Dialysis in Acute Kidney Injury: How Far Away?

Semin Nephrol. 2020 Sep;40(5):506-515. doi: 10.1016/j.semnephrol.2020.08.007.

Authors

Zhikai Yang¹, Jie Dong², Li Yang¹

Affiliations

¹ (⁎)Renal Division, Department of Medicine, Peking University First Hospital, Peking University, Beijing, China; (†)Institute of Nephrology, Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; (‡)Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China.
² (⁎)Renal Division, Department of Medicine, Peking University First Hospital, Peking University, Beijing, China; (†)Institute of Nephrology, Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China; (‡)Key Laboratory of Chronic Kidney Disease Prevention and Treatment, Peking University, Ministry of Education, Beijing, China. Electronic address: jie.dong@bjmu.edu.cn.

PMID: 33334464
DOI: 10.1016/j.semnephrol.2020.08.007

Abstract

Acute kidney injury (AKI) has become a worldwide public health problem, resulting in a high risk of mortality and progression to chronic kidney disease. Peritoneal dialysis (PD) can be an effective renal support for AKI, especially in regions where medical resources are limited, but actually underused. In this article, the current barriers and challenges of use of PD in AKI are discussed, including health strategy and medical resources, PD team organization, and technique-specific factors. Currently, we are just on the starting line of the campaign of acute PD. It is still a long way to the development of PD as a mature treatment in AKI.

Keywords: Acute kidney injury (AKI); acute PD; peritoneal dialysis (PD); renal replacement therapy.

Publication types

Review

MeSH terms

Acute Kidney Injury* / therapy
Humans
Kidney
Peritoneal Dialysis*