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Peritoneal Dialysis Tailored to Pediatric Needs
Joint Authors
Claus Peter, Schmitt
Betti, Schaefer
Fischbach, Michel
Ariane, Zaloszyc
Source
International Journal of Nephrology
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-06-08
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Consideration of specific pediatric aspects is essential to achieve adequate peritoneal dialysis (PD) treatment in children.
These are first of all the rapid growth, in particular during infancy and puberty, which must be accompanied by a positive calcium balance, and the age dependent changes in body composition.
The high total body water content and the high ultrafiltration rates required in anuric infants for adequate nutrition predispose to overshooting convective sodium losses and severe hypotension.
Tissue fragility and rapid increases in intraabdominal fat mass predispose to hernia and dialysate leaks.
Peritoneal equilibration tests should repeatedly been performed to optimize individual dwell time.
Intraperitoneal pressure measurements give an objective measure of intraperitoneal filling, which allow for an optimized dwell volume, that is, increased dialysis efficiency without increasing the risk of hernias, leaks, and retrofiltration.
We present the concept of adapted PD, that is, the combination of short dwells with low fill volume to promote ultrafiltration and long dwells with a high fill volume to improve purification within one PD session.
The use of PD solutions with low glucose degradation product content is recommended in children, but unfortunately still not feasible in many countries.
American Psychological Association (APA)
Claus Peter, Schmitt& Ariane, Zaloszyc& Betti, Schaefer& Fischbach, Michel. 2011. Peritoneal Dialysis Tailored to Pediatric Needs. International Journal of Nephrology،Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-509894
Modern Language Association (MLA)
Claus Peter, Schmitt…[et al.]. Peritoneal Dialysis Tailored to Pediatric Needs. International Journal of Nephrology No. 2011 (2011), pp.1-9.
https://search.emarefa.net/detail/BIM-509894
American Medical Association (AMA)
Claus Peter, Schmitt& Ariane, Zaloszyc& Betti, Schaefer& Fischbach, Michel. Peritoneal Dialysis Tailored to Pediatric Needs. International Journal of Nephrology. 2011. Vol. 2011, no. 2011, pp.1-9.
https://search.emarefa.net/detail/BIM-509894
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509894