Technique survival in continuous ambulatory peritoneal dialysis (CAPD) depends mostly on clearances in relation to body size and residual renal function (RRF). Our clinical impression has been that when RRF fails, larger patients leave CAPD sooner than smaller patients do. Peritoneal equilibration tests (PETs) and 24-hour adequacy evaluations performed in 277 patients in a single center from 19...

The optimal dialysis dose for the treatment of acute kidney injury (AKI) is controversial. No studies have directly examined the effects of peritoneal dialysis (PD) dose on outcomes in AKI. From January 2005 to January 2007, we randomly assigned critically ill patients with AKI to receive higher- or lower-intensity PD therapy (prescribed Kt/Vof 0.8 and 0.5 per session respectively). The main ou...

The fundamental objective of dialysis is to maintain the dose of solute clearance and ultrafiltration (UF). When peritoneal dialysis (PD) patients cannot maintain target clearances, the dialysis dose needs to be increased. The means of increasing dose by PD alone are limited, especially in patients with UF failure. Combination therapy with PD and hemodialysis (PD+HD) is the simplest way to solv...

Renal dialysis patients have biochemical analysis performed monthly to determine the adequacy of dialysis. These are analysed by taking blood in a clotted gel tube preand post-dialysis sessions, immediately centrifuged and sent to the laboratory for analysis. Certain patients (like home dialysis patients) cannot have the samples immediately centrifuged, as they are taken in a home environment. ...

The vibration sensory threshold (VST) is an easy non-invasive reproducible and sensitive bedside test of peripheral nerve function. It is impaired in pre-dialysis uraemic patients with no clinical evidence of peripheral neuropathy; tends to deteriorate during the first year of dialysis after which it remains relatively constant, and returns towards normal within one week of kidney allograft fun...

The prevalence of cognitive impairment is extremely high in dialysis patients, and it has been hypothesized that low urea clearance an impact on impairment. However, several other studies conducted the era high-flux have not shown association between lower Kt/V poorer function. Therefore, directly examine relationship adequacy function hemodialysis patients are essential. present study aimed to...

Incremental dialysis is increasingly recognized as a safe and beneficial method of initiating dialysis. Different centers use distinct prescription methods. We discuss the advantages incremental hemodialysis potential benefit preserving residual renal function we present our experience. reviewed data from 20 incident patients, with mean follow‑up 9.5 months, who started method, using hemofiltra...

This study assessed hemodialysis adequacy in pediatric centers. Monthly adequacy data were requested in NAPRTCS enrollees on hemodialysis for at least 6 mo. Data forms were returned for 147 children from 32 centers. Data are presented for the 138 children (57% boys, 45% black) that were dialyzed 3 times/wk, representing 2282 patient-months of follow-up. Pre- and postdialysis BUN levels were rep...