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Peritoneal dialysis in choildren : consider the membrane for optimal prescripation
Joint Authors
Fischbach, M.
Dheu, C.
Michallat, A. C.
Escande, B.
Laugel, V.
Barthelmebs, M.
Zoellner, G.
Schaefer, F.
Schmitt, C. P.
Haraldsson, B.
Helwig, J. J.
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 16, Issue 1 (28 Feb. 2005), pp.1-5, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2005-02-28
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
Abstract EN
The peritoneal dialysis prescription was, for a long time, based on clinical experience and very empirical, especially for patients on continuous ambulatory peritoneal dialysis (CAPD).
Better comprehension of the peritoneal membrane as a dynamic dialysis surface allows an individualized prescription, especially for children on automated peritoneal dialysis (APD).
Fill volume prescription should be scaled for body surface area (mL / m²) and not in a too low amount to avoid a hyper permeable exchange.
Fill volume enhancement should be done under clinical control and is best secured by intraperitoneal pressure measurement (IPP; cm H2O).
A peak fill volume of 1400-1500 mL/m² could be prescribed both in terms of tolerance and of efficiency.
The dwell times should be determined individually with respect to two opposite parameters namely : short dwell times which provide adequate small solute clearance and maintain ultrafiltration capacity and long dwell times which enhance phosphate clearance but can contribute to dialysate reabsorption.
The new peritoneal dialysis fluids which are free of GPD's, have neutral pH and are not exclusively lactate buffered, appear as the best choice in the context of peritoneal exchange membrane recruitment and of peritoneal vascular hyper perfusion preservation.
American Psychological Association (APA)
Fischbach, M.& Dheu, C.& Michallat, A. C.& Escande, B.& Laugel, V.& Barthelmebs, M.…[et al.]. 2005. Peritoneal dialysis in choildren : consider the membrane for optimal prescripation. Saudi Journal of Kidney Diseases and Transplantation،Vol. 16, no. 1, pp.1-5.
https://search.emarefa.net/detail/BIM-43988
Modern Language Association (MLA)
Fischbach, M.…[et al.]. Peritoneal dialysis in choildren : consider the membrane for optimal prescripation. Saudi Journal of Kidney Diseases and Transplantation Vol. 16, no. 1 (Dec. 2005), pp.1-5.
https://search.emarefa.net/detail/BIM-43988
American Medical Association (AMA)
Fischbach, M.& Dheu, C.& Michallat, A. C.& Escande, B.& Laugel, V.& Barthelmebs, M.…[et al.]. Peritoneal dialysis in choildren : consider the membrane for optimal prescripation. Saudi Journal of Kidney Diseases and Transplantation. 2005. Vol. 16, no. 1, pp.1-5.
https://search.emarefa.net/detail/BIM-43988
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 4-5
Record ID
BIM-43988