Technical Aspects and Prescription of Peritoneal Dialysis in Children

Enrico Eugenio Verrina; Lyndsay A Harshman

doi:10.1007/978-3-030-66861-7_13

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Book chapter

Technical Aspects and Prescription of Peritoneal Dialysis in Children

Enrico Eugenio Verrina and Lyndsay A Harshman

Pediatric Dialysis, pp.193-228

Springer International Publishing

03/31/2021

DOI: 10.1007/978-3-030-66861-7_13

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Abstract

Since 1978, when continuous ambulatory peritoneal dialysis (CAPD) was first introduced for the treatment of pediatric patients with end-stage renal disease (ESRD), a series of technological improvements have been incorporated into the peritoneal dialysis (PD) procedure. Important improvements have been achieved in the safety and ease of use of the mechanical devices employed in the dialysis procedure, as well as in the dialytic efficacy and biocompatibility of the PD solutions. More recently, a revolution in the fields of electronics and computer science has generated a series of automated delivery systems called “cyclers” that allow great prescription flexibility, as well as the monitoring of therapy results and of patient adherence to the dialysis prescription. Unlike CAPD, in which treatment is truly continuous for 24 h of each day, in automated peritoneal dialysis (APD), treatment is usually limited to only a portion of the 24 h, usually overnight. Both CAPD and APD are currently widely used in children around the world. In this chapter, we describe the most recently developed and currently available equipment for the various forms of PD and provide information on how this equipment can be used to deliver the desired PD therapy for pediatric patients of all ages and sizes. Particular attention is paid to the technical developments that have proven to be most useful in fulfilling the specific clinical needs of the pediatric patient population.

Treatment adherence

Continuous ambulatory peritoneal dialysis (CAPD)

Peritoneal membrane transport

Automated peritoneal dialysis (APD)

Treatment adequacy

Pediatric

Peritoneal dialysis

Details

Title: Subtitle: Technical Aspects and Prescription of Peritoneal Dialysis in Children
Creators: Enrico Eugenio Verrina
Lyndsay A Harshman
Resource Type: Book chapter
Publication Details: Pediatric Dialysis, pp.193-228
DOI: 10.1007/978-3-030-66861-7_13
Publisher: Springer International Publishing; Cham
Language: English
Date published: 03/31/2021
Academic Unit: Nephrology, Dialysis and Transplantation; Stead Family Department of Pediatrics; Iowa Neuroscience Institute
Record Identifier: 9984071711102771

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