peritoneal access and exit site care

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To determine standard peritoneal access practices in North American children, a questionnaire was distributed to the 18 participating centers of the Pediatric Peritoneal Dialysis Study Consortium. The survey covered areas including catheter placement, postoperative catheter break-in, chronic catheter care, and treatment of exit-site and tunnel infection.

The peritoneal catheter is the CAPD patient's lifeline. Advances in catheter knowledge have made it possible to access the peritoneal cavity safely and maintain access over an extended period of time. Infection at the exit site remains a major problem, a solution for which is being extensively researched. The successful outcome of a catheter in an individual depends on meticulous care and adherence to sound principles of catheter insertion and management. The guidelines provided in this publication represent the consensus based on the extensive experience of several major centers worldwide...

Mathematical modeling and clinical trials have increased the use of intraperitoneal (IP) therapy in cancer care. A direct result of this increase in IP therapy research is an increasing use of access devices. One of the most commonly selected access devices is the Tenckoff catheter. The prevention and management of complications of IP therapy via the Tenckhoff catheter are nursing's responsibility. Complications include peritonitis, catheter occlusion, exit site infections, leakage of fluid from around the catheter, and chemical peritonitis...