Increasing the use of biocompatible, glucose-free peritoneal dialysis solutions
نویسندگان
چکیده
منابع مشابه
Biocompatible Solutions for Peritoneal Dialysis
In 1978, a simplified technique for peritoneal dialysis (PD) using plastic bags and glucose as osmotic agent allowed PD to become accepted as a home-based renal replacement therapy. However, PD was marred by complications including peritonitis and loss of function of the peritoneal membrane. Both complications may be favored by the bioincompatibility of PD solutions. The composition of PD solut...
متن کاملBiocompatible peritoneal dialysis solutions: do they indeed affect the outcome?
Numerous studies have confirmed beneficial effects of polyglucose dialysis solution (PG-DS), an amino acid dialysis solution (AA-DS), and bicarbonate (bic) or bicarbonate/lactate (bic/lac) buffered solutions on selected components of peritoneal bioavailability or clinical parameters of peritoneal dialysis (PD) patients. Few adverse effects have also been described. A question arises whether the...
متن کاملBiocompatible Peritoneal Dialysis Fluids: Clinical Outcomes
Peritoneal dialysis (PD) is a preferred home dialysis modality and has a number of added advantages including improved initial patient survival and cost effectiveness over haemodialysis. Despite these benefits, uptake of PD remains relatively low, especially in developed countries. Wider implementation of PD is compromised by higher technique failure from infections (e.g., PD peritonitis) and u...
متن کاملUltrafiltration efficiency during automated peritoneal dialysis using glucose-based solutions.
The ultrafiltration (UF) efficiency of peritoneal dialysis (PD) solutions, defined as the net UF divided by the amount of carbohydrate absorbed per dwell, has been shown to be higher during long dwells with 7.5% icodextrin solution (Extraneal: Baxter Healthcare Corporation, Deerfield, IL, U.S.A.) than during those with glucose-based solution (2.5% and 4.25% Dianeal: Baxter Healthcare Corporatio...
متن کاملCytotoxic Glucose Degradation Products in Fluids for Peritoneal Dialysis
During the standard heat sterilization process of the lactate–buffered peritoneal dialysis solutions, glucose (an osmotic active substance) degrades to form compounds called glucose degradation products which are cytotoxic and affect the survival of the peritoneal membrane. This case presentation is based on an observation of 224 aseptic peritonitis cases of unknown etiology. For the purpose of...
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ژورنال
عنوان ژورنال: World Journal of Nephrology
سال: 2015
ISSN: 2220-6124
DOI: 10.5527/wjn.v4.i1.92