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Urgent start peritoneal dialysis

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https://www.readbyqxmd.com/read/27824950/urgent-start-peritoneal-dialysis-and-hemodialysis-in-esrd-patients-complications-and-outcomes
#1
Haijiao Jin, Wei Fang, Mingli Zhu, Zanzhe Yu, Yan Fang, Hao Yan, Minfang Zhang, Qin Wang, Xiajing Che, Yuanyuan Xie, Jiaying Huang, Chunhua Hu, Haifen Zhang, Shan Mou, Zhaohui Ni
BACKGROUND: Several studies have suggested that urgent-start peritoneal dialysis (PD) is a feasible alternative to hemodialysis (HD) in patients with end-stage renal disease (ESRD), but the impact of the dialysis modality on outcome, especially on short-term complications, in urgent-start dialysis has not been directly evaluated. The aim of the current study was to compare the complications and outcomes of PD and HD in urgent-start dialysis ESRD patients. METHODS: In this retrospective study, ESRD patients who initiated dialysis urgently without a pre-established functional vascular access or PD catheter at a single center from January 2013 to December 2014 were included...
2016: PloS One
https://www.readbyqxmd.com/read/27154837/we-use-permcaths-instead-of-peritoneal-catheters-for-acute-kidney-injury-and-urgent-start-dialysis
#2
Daniel Dean, Dinna N Cruz
The rising tide of severe acute kidney injury requiring dialysis (AKI-D) and unplanned dialysis initiation for advanced CKD patients remains a major problem for the nephrology community worldwide. Hemodialysis (HD) through a central venous catheter remains the most common practice for both. Peritoneal dialysis (PD) remains greatly underutilized despite mounting evidence of equipoise with HD for a significant proportion of patients. PD is technically simpler, requires less infrastructure, and costs less. However, the structure of our healthcare system, hospital logistics, and the current state of nephrology training all contribute to the reflexive consult for a central venous catheter...
July 2016: Seminars in Dialysis
https://www.readbyqxmd.com/read/26964422/the-canadian-organ-replacement-register-nursing-s-important-contribution
#3
S Joseph Kim, Alison Thomas
You are a charge nurse in a large hemodialysis unit in Ontario.One of the clerical staff has approached you today to assist withan update to her statistics on new and existing patients in yourunit. You are asked to clarify the cause of death for one patientand to clarify the date of transfer to the home dialysis programfor peritoneal dialysis on another patient. Finally, you are asked toremind the nurse practitioner (NP) to complete a registration formfor another patient who has just started chronic hemodialysis inyour unit...
October 2015: CANNT Journal, Journal ACITN
https://www.readbyqxmd.com/read/26951906/urgent-peritoneal-dialysis-or-hemodialysis-catheter-dialysis
#4
Charmaine E Lok
Worldwide, there is a steady incident rate of patients with end-stage kidney disease (ESKD) who require renal replacement therapy. Of these patients, approximately one-third have an "unplanned" or "urgent" start to dialysis. This can be a very challenging situation where patients have either not had adequate time for education and decision making regarding dialysis modality and appropriate dialysis access, or a decision was made and plans were altered due to unforeseen circumstances. Despite such unplanned starts, clinicians must still consider the patient's ESKD "life-plan", which includes the best initial dialysis modality and access to suit the patient's individual goals and their medical, social, logistic, and facility circumstances...
March 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/26897038/peritoneal-dialysis-can-be-an-option-for-unplanned-chronic-dialysis-initial-results-from-a-developing-country
#5
Dayana Bitencourt Dias, Vanessa Banin, Marcela Lara Mendes, Pasqual Barretti, Daniela Ponce
AIM: Starting dialysis in an unplanned manner is frequent situation in dialysis center even for patients with regular nephrology follow-up. Peritoneal dialysis (PD) appears as an option for unplanned initiation of chronic dialysis, offering the advantage of not using central venous catheters and preserving of residual renal function. Since July 2014, we have offered PD as urgent start for chronic kidney disease (CKD) patients. METHODS: It was a prospective study that aimed to evaluate the mortality rate in hospitalized patients who started unplanned urgent PD in the first 90 days...
June 2016: International Urology and Nephrology
https://www.readbyqxmd.com/read/26715955/deficiencies-in-education-and-experience-in-the-management-of-acute-kidney-injury-among-malawian-healthcare-workers
#6
R Evans, P Rudd, U Hemmila, H Dobbie, G Dreyer
BACKGROUND: Acute kidney injury (AKI) is a common but under-recognised disease process, which carries a high risk of mortality or chronic complications, such as chronic kidney disease and other organ dysfunction. Management of AKI, however, is suboptimal, both in developed settings and in Malawi. This is partly because of deficiencies in AKI education and training. AIM: To establish current levels of AKI education in a range of healthcare workers in Malawi. METHODS: An AKI symposium was held in Blantyre in March 2015...
September 2015: Malawi Medical Journal: the Journal of Medical Association of Malawi
https://www.readbyqxmd.com/read/26702001/unplanned-start-on-peritoneal-dialysis-right-after-pd-catheter-implantation-for-older-people-with-end-stage-renal-disease
#7
REVIEW
Johan V Povlsen, Anette Bagger Sørensen, Per Ivarsen
Unplanned start on dialysis remains a major problem for the dialysis community worldwide. Late-referred patients with end-stage renal disease (ESRD) and urgent need for dialysis are overrepresented among older people. These patients are particularly likely to be started on in-center hemodialysis (HD), with a temporary vascular access known to be associated with excess mortality and increased risks of potentially lethal complications such as bacteremia and central venous thrombosis or stenosis.The present paper describes in detail our program for unplanned start on automated peritoneal dialysis (APD) right after PD catheter implantation and summarizes our experiences with the program so far...
November 2015: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/26374834/success-of-urgent-start-peritoneal-dialysis-in-a-large-canadian-renal-program
#8
Ali M A Alkatheeri, Peter G Blake, Daryl Gray, Arsh K Jain
UNLABELLED:BACKGROUND: Many patients start renal replacement therapy urgently on in-center hemodialysis via a central venous catheter, which is considered suboptimal. An alternative approach to manage these patients is to start them on peritoneal dialysis (PD). In this report, we describe the first reported Canadian experience with an urgent-start PD program. Additionally we reviewed the literature in this area. ♦ METHODS: In this prospective observational study, we report on our experience in a single academic center...
March 2016: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/25762355/baseline-hydration-status-in-incident-peritoneal-dialysis-patients-the-initiative-of-patient-outcomes-in-dialysis-ipod-pd-study-%C3%A2
#9
MULTICENTER STUDY
Claudio Ronco, Christian Verger, Carlo Crepaldi, Jenny Pham, Tatiana De Los Ríos, Adelheid Gauly, Peter Wabel, Wim Van Biesen
BACKGROUND: Non-euvolaemia in peritoneal dialysis (PD) patients is associated with elevated mortality risk. There is an urgent need to collect data to help us understand the association between clinical practices and hydration and nutritional status, and their effects on patient outcome. METHODS: The aim of this prospective international, longitudinal observational cohort study is to follow up the hydration and nutritional status, as measured by bioimpedance spectroscopy using the body composition monitor (BCM) of incident PD patients for up to 5 years...
May 2015: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/25526471/economic-evaluation-of-urgent-start-peritoneal-dialysis-versus-urgent-start-hemodialysis-in-the-united-states
#10
Frank Xiaoqing Liu, Arshia Ghaffari, Harman Dhatt, Vijay Kumar, Cristina Balsera, Eric Wallace, Quresh Khairullah, Beth Lesher, Xin Gao, Heather Henderson, Paula LaFleur, Edna M Delgado, Melissa M Alvarez, Janett Hartley, Marilyn McClernon, Surrey Walton, Steven Guest
Patients presenting late in the course of kidney disease who require urgent initiation of dialysis have traditionally received temporary vascular catheters followed by hemodialysis. Recent changes in Medicare payment policy for dialysis in the USA incentivized the use of peritoneal dialysis (PD). Consequently, the use of more expeditious PD for late-presenting patients (urgent-start PD) has received new attention. Urgent-start PD has been shown to be safe and effective, and offers a mechanism for increasing PD utilization...
December 2014: Medicine (Baltimore)
https://www.readbyqxmd.com/read/25338420/early-technique-success-after-initiation-of-treatment-with-urgent-start-peritoneal-dialysis
#11
Allison Masseur, Steven Guest, Vijay Kumar
In the United States, interest has recently been renewed in the more urgent initiation of peritoneal dialysis (PD) to avoid temporary vascular access catheters in appropriate patients presenting late in the course of their kidney disease. Urgent-start PD programs have been established across the country, requiring new infrastructure and processes of care. Less is known about early technique success after urgent initiation of PD. In this report, we describe 90-day technique success and causes of hospitalization in 81 patients initiating PD in our urgent-start pathway...
2014: Advances in Peritoneal Dialysis
https://www.readbyqxmd.com/read/25244889/urgent-start-peritoneal-dialysis-nursing-aspects
#12
REVIEW
Cheryl Groenhoff, Edna Delgado, Marilyn McClernon, Alicia Davis, Latasha Malone, Janet Majirsky, Steven Guest
Urgent-start peritoneal dialysis (PD) refers to the initiation of dialysis soon after a PD catheter placement and is a treatment option available to the late-referred patient with advanced kidney disease. This article reviews nursing aspects of urgent-start PD and can serve as a guide for this evolving clinical pathway that can provide renal replacement therapy for a critical segment of the population with Stage 5 chronic kidney disease who require renal replacement therapy.
July 2014: Nephrology Nursing Journal: Journal of the American Nephrology Nurses' Association
https://www.readbyqxmd.com/read/25055436/urgent-start-pd-moving-the-therapy-forward
#13
Mark E Neumann
With a continual effort to reduce the number of incident patients starting with a central venous catheter, and renewed interest in encouraging home therarpy, urgent-start peritoneal dialysis can make a difference.
June 2014: Nephrology News & Issues
https://www.readbyqxmd.com/read/24817465/using-tunneled-femoral-vein-catheters-for-urgent-start-dialysis-patients-a-preliminary-report
#14
Jay Hingwala, Cynthia Bhola, Charmaine E Lok
BACKGROUND: Multiple benefits of arteriovenous fistulas (AVF) and arteriovenous grafts (AVGs) exist over catheters. As part of a strategy to preserve thoracic venous sites and reduce internal jugular (IJ) vein catheter use, we inserted tunneled femoral vein catheters in incident "urgent start" dialysis patients while facilitating a more appropriate definitive dialysis access. METHODS: "Urgent start" dialysis patients between January 15, 2013 and January 15, 2014 who required chronic dialysis, and did not have prior modality and vascular access plans, had tunneled femoral vein catheters inserted...
2014: Journal of Vascular Access
https://www.readbyqxmd.com/read/24621409/urgent-start-peritoneal-dialysis-what-are-the-problems-and-their-solutions
#15
REVIEW
Rex L Mahnensmith
No abstract text is available yet for this article.
May 2014: Seminars in Dialysis
https://www.readbyqxmd.com/read/24584622/best-practices-consensus-protocol-for-peritoneal-dialysis-catheter-placement-by-interventional-radiologists
#16
REVIEW
Ahmed K Abdel-Aal, Paul Dybbro, Peter Hathaway, Steven Guest, Michael Neuwirth, Venkat Krishnamurthy
Peritoneal dialysis (PD) catheters can be placed by interventional radiologists, an approach that might offer scheduling efficiencies, cost-effectiveness, and a minimally invasive procedure. In the United States, changes in the dialysis reimbursement structure by the Centers for Medicare and Medicaid Services are expected to result in the increased use of PD, a less costly dialysis modality that offers patients the opportunity to receive dialysis in the home setting and to have more independence for travel and work schedules, and that preserves vascular access for future dialysis options...
July 2014: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/24353321/can-peritoneal-dialysis-be-applied-for-unplanned-initiation-of-chronic-dialysis
#17
REVIEW
Per Ivarsen, Johan V Povlsen
Late referral of patients with chronic kidney disease (CKD) and unforeseeable deterioration of residual renal function in known CKD patients remain a major problem leading to the need of unplanned start on chronic dialysis without a mature access for dialysis. In most centres worldwide, these patients are started on haemodialysis (HD) using a temporary tunnelled central venous catheter (CVC) for access. However, during the last decade, increasing clinical experience with unplanned start on peritoneal dialysis (PD) right after PD catheter implantation has been published...
December 2014: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/24335123/infrastructure-requirements-for-an-urgent-start-peritoneal-dialysis-program
#18
Arshia Ghaffari, Vijay Kumar, Steven Guest
Patients with advanced chronic kidney disease nearing dialysis but without pre-established access almost uniformly initiate dialysis with a temporary central venous catheter. These catheters are associated with high rates of infection and flow disturbances, requiring removal and subsequent replacement. Many of these patients might be candidates for peritoneal dialysis (PD), but because of the absence of prior catheter placement, the default initial modality is hemodialysis. Recent reports, however, have demonstrated the feasibility of initiating PD urgently despite the late referral for access placement...
November 2013: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/24246221/urgent-start-peritoneal-dialysis-a-chance-for-a-new-beginning
#19
REVIEW
Rohini Arramreddy, Sijie Zheng, Anjali B Saxena, Scott E Liebman, Leslie Wong
Peritoneal dialysis (PD) remains greatly underutilized in the United States despite the widespread preference of home modalities among nephrologists and patients. A hemodialysis-centric model of end-stage renal disease care has perpetuated for decades due to a complex set of factors, including late end-stage renal disease referrals and patients who present to the hospital requiring urgent renal replacement therapy. In such situations, PD rarely is a consideration and patients are dialyzed through a central venous catheter, a practice associated with high infection and mortality rates...
March 2014: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/23311224/urgent-start-peritoneal-dialysis-report-from-a-u-s-private-nephrology-practice
#20
Alberto Casaretto, Reinaldo Rosario, Wayne R Kotzker, Yaselly Pagan-Rosario, Cheryl Groenhoff, Steven Guest
Urgent-start peritoneal dialysis (PD) can be defined as initiation of PD within 2 weeks of catheter insertion. Urgent-start PD can be offered to patients who are referred late to a nephrologist and who would typically be initiated on hemodialysis with a temporary vascular access. An urgent-start PD capability requires expedited options education, catheter placement, unique change in the PD unit infrastructure, and new processes of care. This report describes the urgent-start PD program established by a nephrology private practice in the United States...
2012: Advances in Peritoneal Dialysis
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