Current Concepts. Continuous Ambulatory Peritoneal Dialysis.

Publication Type
Journal Article
Year of Publication
1988
Authors
Nolph, K D; Lindblad, A S; Novak, J W
Secondary
N Engl J Med
Volume
318
Start Page
1595
Pagination
1595-1600
Date Published
06/1988
Keywords
Child; Continuous Ambulatory; Humans; peritoneal dialysis
Abstract

As a long-term dialysis therapy, CAPD has attractive features for use in children (in whom access to the circulation and immobility are often problems), adults in whom blood access is difficult, patients with diabetes, patients prone to hypotension, and patients seeking independence from a machine or medical facility. CAPD and related procedures are still evolving and improving. Efforts to reduce the rates of peritonitis are ongoing and should decrease the rates of treatment dropout and increase the use of this alternative method of dialysis. Continued research toward improvements in catheter configuration and connection devices and the tailoring of technique to meet the particular needs of patients have made peritoneal dialysis an acceptable replacement therapy in patients with end-stage renal disease. Neither peritoneal dialysis nor hemodialysis is the superior long-term dialysis therapy for all patients; the choice depends on numerous medical, social, geographic, and life-style considerations.