Pub Date : 2016-08-01DOI: 10.15582/IJPD/2016/104060
U. Cheema, R. Parthasarathy
Peritoneal dialysis(PD) is regarded as a safe and effective dialysis modality for ESRD. PD catheter insertion using Laproscopic(lap) techniques has gained importance in the recent years especially in difficult and complicated cases. This review focuses on the Lap technique of PD Catheter insertion.
{"title":"Role of Laproscopy in Peritoneal Dialysis Catheter Insertion","authors":"U. Cheema, R. Parthasarathy","doi":"10.15582/IJPD/2016/104060","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104060","url":null,"abstract":"Peritoneal dialysis(PD) is regarded as a safe and effective dialysis modality for ESRD. PD catheter insertion using Laproscopic(lap) techniques has gained importance in the recent years especially in difficult and complicated cases. This review focuses on the Lap technique of PD Catheter insertion.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125008785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-08-01DOI: 10.15582/IJPD/2016/104065
K. Paudel, P. Rudreshwar, P. Rajeevalochana, M. Mathew, G. Abraham
Acute kidney injury is a common cause of morbidity and mortality after cardiac transplantation. Knowledge of various preoperative, intraoperative and post-operative risk factors allow prevention, early diagnosis and successful management of acute kidney injury. CRRT in the form of acute peritoneal dialysis is a modality of dialysis which is extremely cost effective and is non-inferior to other extra corporeal therapies. We present the successful management of acute kidney injury with peritoneal dialysis in a cardiac transplant recipient in the immediate post operative period who developed sepsis and non-oliguric AKI.
{"title":"Successful Management of Acute Kidney Injury with Peritoneal Dialysis in a Patient after Heart Transplantation with Burkholderia Septicemia","authors":"K. Paudel, P. Rudreshwar, P. Rajeevalochana, M. Mathew, G. Abraham","doi":"10.15582/IJPD/2016/104065","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104065","url":null,"abstract":"Acute kidney injury is a common cause of morbidity and mortality after cardiac transplantation. Knowledge of various preoperative, intraoperative and post-operative risk factors allow prevention, early diagnosis and successful management of acute kidney injury. CRRT in the form of acute peritoneal dialysis is a modality of dialysis which is extremely cost effective and is non-inferior to other extra corporeal therapies. We present the successful management of acute kidney injury with peritoneal dialysis in a cardiac transplant recipient in the immediate post operative period who developed sepsis and non-oliguric AKI.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128474012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104084
M. Vijayan, G. Abraham, A. Kurien, P. Nagarajan, P. Koshy
A 74 year old diabetic nephropathy patient had symptomatic postural hypotension with normal left ventricular function. As there was no significant response to discontinuation of antihypertensives, he was started on midodrine hydrochloride, which led to a significant symptomatic improvement. After 3 weeks, he developed a gangrenous patch over his glans penis. A Doppler ultrasound showed deceased blood flow in the penile artery. The penile artery which was probably already undergoing arteriosclerotic changes, deteriorated further due to vasoconstriction. Midodrine hydrochloride has to be cautiously used in dialysis patients.
{"title":"Penile Gangrene Following Use of Midodrine Hydrochloride for Hypotension in a Male Diabetic Patient Undergoing CAPD","authors":"M. Vijayan, G. Abraham, A. Kurien, P. Nagarajan, P. Koshy","doi":"10.15582/IJPD/2016/104084","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104084","url":null,"abstract":"A 74 year old diabetic nephropathy patient had symptomatic postural hypotension with normal left ventricular function. As there was no significant response to discontinuation of antihypertensives, he was started on midodrine hydrochloride, which led to a significant symptomatic improvement. After 3 weeks, he developed a gangrenous patch over his glans penis. A Doppler ultrasound showed deceased blood flow in the penile artery. The penile artery which was probably already undergoing arteriosclerotic changes, deteriorated further due to vasoconstriction. Midodrine hydrochloride has to be cautiously used in dialysis patients.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130002612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104081
M. Sreelatha
Continuous Ambulatory Peritoneal Dialysis is a very useful mode of Renal Replacement Therapy for elderly patients, young children and in those with severe heart disease. Kerala Government is very much supporting this form of RRT. So that a large number of poor patients are benefited.
{"title":"Government Support to Peritoneal Dialysis Program in Kerala","authors":"M. Sreelatha","doi":"10.15582/IJPD/2016/104081","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104081","url":null,"abstract":"Continuous Ambulatory Peritoneal Dialysis is a very useful mode of Renal Replacement Therapy for elderly patients, young children and in those with severe heart disease. Kerala Government is very much supporting this form of RRT. So that a large number of poor patients are benefited.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133424519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104083
A. Rajiv, K. Sampathkumar, A. Nayak, Sakthikumar, D. S. Kumar
A 54 year old lady with chronic kidney disease stage 5 on CAPD presented to us with peritonitis. This was her second episode of peritonitis. The previous episode was a year before and was culture negative. The present culture grew Acinetobacter which was sensitive to aminoglycosides, fluoroquinolones, fourth generation cephalosporins and carbapenems. We treated her with Imipenem for 4 weeks and the peritonitis resolved. A month later she developed peritonitis again which was culture negative and carbapenem resistant requiring CAPD catheter removal for refractory peritonitis. Acinetobacter is an uncommon cause of gram negative peritonitis with a tendency for antibiotic resistance warranting catheter removal as highlighted by this case.
{"title":"Acinetobacter Peritonitis in CAPD","authors":"A. Rajiv, K. Sampathkumar, A. Nayak, Sakthikumar, D. S. Kumar","doi":"10.15582/IJPD/2016/104083","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104083","url":null,"abstract":"A 54 year old lady with chronic kidney disease stage 5 on CAPD presented to us with peritonitis. This was her second episode of peritonitis. The previous episode was a year before and was culture negative. The present culture grew Acinetobacter which was sensitive to aminoglycosides, fluoroquinolones, fourth generation cephalosporins and carbapenems. We treated her with Imipenem for 4 weeks and the peritonitis resolved. A month later she developed peritonitis again which was culture negative and carbapenem resistant requiring CAPD catheter removal for refractory peritonitis. Acinetobacter is an uncommon cause of gram negative peritonitis with a tendency for antibiotic resistance warranting catheter removal as highlighted by this case.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116222752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104080
P. Natarajan, G. Abraham
Chronic kidney disease, characterized by decreased glomerular filtration and proteinuria are associated with increased cardiovascular risk, and mortality as a result of those events. Stroke, in particular can be a debilitating event in a CKD patient's life due to limitations of standard treatment in this population even if the presentation is within the therapeutic time window. We discuss the traditional and non traditional risk factors associated with stroke in CKD patients and their pathophysiology. In addition, this article reviews the advantages and disadvantages of peritoneal dialysis and hemodialysis in the different subsets of stroke patients with CKD. We also talk about potential future areas of research in treatment and controlling for the risk factors associated with stroke.
{"title":"Stroke, Chronic Kidney Disease and Dialysis","authors":"P. Natarajan, G. Abraham","doi":"10.15582/IJPD/2016/104080","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104080","url":null,"abstract":"Chronic kidney disease, characterized by decreased glomerular filtration and proteinuria are associated with increased cardiovascular risk, and mortality as a result of those events. Stroke, in particular can be a debilitating event in a CKD patient's life due to limitations of standard treatment in this population even if the presentation is within the therapeutic time window. We discuss the traditional and non traditional risk factors associated with stroke in CKD patients and their pathophysiology. In addition, this article reviews the advantages and disadvantages of peritoneal dialysis and hemodialysis in the different subsets of stroke patients with CKD. We also talk about potential future areas of research in treatment and controlling for the risk factors associated with stroke.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126337313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104078
U. Narain, Arvind Gupta
If patient's immunity impairs due to the first episode of peritonitis, leads in some cases to another episode of peritonitis from a completely different organism, implying a different cause is known as Recurrent Peritonitis. Method: The study is based on the analysis of our data over a period of 16 years. The sample size was of 402 ESRD patients on CAPD. We retrospectively identified 20 cases of recurrent peritonitis, examined the demographic features, spectrum of pathogens and the outcome. Result: We analyzed 20 patients of recurrent peritonitis in which 11 (55%) patients developed aerobic peritonitis, 6 (30%) developed anaerobic peritonitis and 3 (15%) patients developed fungal peritonitis. We observed that all the three categories of recurrent peritonitis were predominantly found in the cases of diabetic nephropathy. Data were significant at 0.05 levels. When analysis was done between primary diagnosis and outcome, p value was 0.094 which was very near to significance; it might become significant if sample size would high. Aggressive combination therapy was given to the patients to avoid relapse and recurrent peritonitis. Outcome of anaerobic Recurrent Peritonitis is more dreaded than outcome of aerobic Recurrent Peritonitis. Worst outcome was observed when both the primary and Recurrent Peritonitis were due to fungal pathogens.Conclusion: The study illustrates that if, any symptom of peritonitis reappears after initial positive response within the fourth week of therapy of a prior episode, we should think of recurrent peritonitis. Hence, we should advice repeat counts and culture testing of dialysate, to avoid further recurrence and relapse.
{"title":"PD Associated Recurrent Peritonitis","authors":"U. Narain, Arvind Gupta","doi":"10.15582/IJPD/2016/104078","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104078","url":null,"abstract":"If patient's immunity impairs due to the first episode of peritonitis, leads in some cases to another episode of peritonitis from a completely different organism, implying a different cause is known as Recurrent Peritonitis. Method: The study is based on the analysis of our data over a period of 16 years. The sample size was of 402 ESRD patients on CAPD. We retrospectively identified 20 cases of recurrent peritonitis, examined the demographic features, spectrum of pathogens and the outcome. Result: We analyzed 20 patients of recurrent peritonitis in which 11 (55%) patients developed aerobic peritonitis, 6 (30%) developed anaerobic peritonitis and 3 (15%) patients developed fungal peritonitis. We observed that all the three categories of recurrent peritonitis were predominantly found in the cases of diabetic nephropathy. Data were significant at 0.05 levels. When analysis was done between primary diagnosis and outcome, p value was 0.094 which was very near to significance; it might become significant if sample size would high. Aggressive combination therapy was given to the patients to avoid relapse and recurrent peritonitis. Outcome of anaerobic Recurrent Peritonitis is more dreaded than outcome of aerobic Recurrent Peritonitis. Worst outcome was observed when both the primary and Recurrent Peritonitis were due to fungal pathogens.Conclusion: The study illustrates that if, any symptom of peritonitis reappears after initial positive response within the fourth week of therapy of a prior episode, we should think of recurrent peritonitis. Hence, we should advice repeat counts and culture testing of dialysate, to avoid further recurrence and relapse.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131728843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104079
S. Ribeiro, R. Pecoits-Filho, T. Moraes
The introduction of dialysis for the treatment of end-stage renal disease (ESRD) during the middle of the last century has completely changed the prognosis of ESRD patients helping to prevent several deaths from uremia, pulmonary edema and electrolyte disturbances. Nevertheless mortality rates remains extremely high and several risk factors contribute to such scenario, including the high prevalence of traditional risk factors as diabetes and hypertension, but also due risk factors related do chronic kidney disease and eventually to new risk factors introduced when a dialysis modality is initiated. Potassium disturbances are common and frequently associated with negative outcomes. In this paper we will focus on potassium disturbances in peritoneal dialysis patients. Particularly, we will discuss the role of hypokalemia in this population, comparing its prevalence in both dialysis modality and exploring the results of some important observational studies that investigated the negative association of low serum potassium levels with clinical outcomes including overall, cardiovascular and infectious mortality.
{"title":"Potassium Serum Levels in Peritoneal Dialysis:Harmful in Excess, Worse in Deficiency","authors":"S. Ribeiro, R. Pecoits-Filho, T. Moraes","doi":"10.15582/IJPD/2016/104079","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104079","url":null,"abstract":"The introduction of dialysis for the treatment of end-stage renal disease (ESRD) during the middle of the last century has completely changed the prognosis of ESRD patients helping to prevent several deaths from uremia, pulmonary edema and electrolyte disturbances. Nevertheless mortality rates remains extremely high and several risk factors contribute to such scenario, including the high prevalence of traditional risk factors as diabetes and hypertension, but also due risk factors related do chronic kidney disease and eventually to new risk factors introduced when a dialysis modality is initiated. Potassium disturbances are common and frequently associated with negative outcomes. In this paper we will focus on potassium disturbances in peritoneal dialysis patients. Particularly, we will discuss the role of hypokalemia in this population, comparing its prevalence in both dialysis modality and exploring the results of some important observational studies that investigated the negative association of low serum potassium levels with clinical outcomes including overall, cardiovascular and infectious mortality.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129448682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-04-01DOI: 10.15582/IJPD/2016/104086
S. Dwarak, M. Mathew, P. Rajeevalochana, P. Rudreshwar, G. Abraham
We report a case of a 69 year old female with Chronic Kidney Disease and Coronary Artery Disease (DVD) on regular Automated peritoneal dialysis(10 Litres of 2.5% Dextrose exchanges at night )who was admitted for planned PTCA. Her PD prescription was modified with add on icodextrin 7.5% as day dwell in view of insufficient ultrafiltration with APD. The patient developed pruritic maculopapular rash which progressed to generalised exfoliative dermatitis 3 days after stoppage of Icodextrin. Peripheral blood eosinophilia was noted. Late onset Exfoliative dermatitis is a rare complication of Icodextrin based PD. Awareness of this entity is important for nephrologists and dermatologists to avoid misdiagnosis.
{"title":"Delayed Onset Icodextrin Induced Exfoliative Dermatitis","authors":"S. Dwarak, M. Mathew, P. Rajeevalochana, P. Rudreshwar, G. Abraham","doi":"10.15582/IJPD/2016/104086","DOIUrl":"https://doi.org/10.15582/IJPD/2016/104086","url":null,"abstract":"We report a case of a 69 year old female with Chronic Kidney Disease and Coronary Artery Disease (DVD) on regular Automated peritoneal dialysis(10 Litres of 2.5% Dextrose exchanges at night )who was admitted for planned PTCA. Her PD prescription was modified with add on icodextrin 7.5% as day dwell in view of insufficient ultrafiltration with APD. The patient developed pruritic maculopapular rash which progressed to generalised exfoliative dermatitis 3 days after stoppage of Icodextrin. Peripheral blood eosinophilia was noted. Late onset Exfoliative dermatitis is a rare complication of Icodextrin based PD. Awareness of this entity is important for nephrologists and dermatologists to avoid misdiagnosis.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130207870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-08-01DOI: 10.15582/IJPD/2014/V25I0/51814
I. Veerappan, G. Abraham
Burying the peritoneal dialysis catheter completely for aplanned or emergency start ofperitoneal dialysis later, similar to a planned vascular access for hemodialysis is an often ignored option. This case report demonstrates how a patient who had her peritoneal dialysis catheter buried earlierwas treatedwith peritoneal dialysis when she when she presentedwith hyperkalemia. If not for that she would have had hemodialysis done with a catheter before she transferred to peritoneal dialysis.
{"title":"Buried Peritoneal Dialysis Catheter for an Emergency Start of Peritoneal Dialysis","authors":"I. Veerappan, G. Abraham","doi":"10.15582/IJPD/2014/V25I0/51814","DOIUrl":"https://doi.org/10.15582/IJPD/2014/V25I0/51814","url":null,"abstract":"Burying the peritoneal dialysis catheter completely for aplanned or emergency start ofperitoneal dialysis later, similar to a planned vascular access for hemodialysis is an often ignored option. This case report demonstrates how a patient who had her peritoneal dialysis catheter buried earlierwas treatedwith peritoneal dialysis when she when she presentedwith hyperkalemia. If not for that she would have had hemodialysis done with a catheter before she transferred to peritoneal dialysis.","PeriodicalId":442296,"journal":{"name":"Indian Journal of Peritoneal dialysis","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117119759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：