Peritoneal dialysis, current status and challenges in India
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 12
Abstract
Continuous ambulatory peritoneal dialysis(CAPD) as a renal replacement therapy is practised in India since 1991. Patients with CKD 5 with multiple comorbidities are accepted for CAPD. As dialysis fluid and permanent peritoneal catheters are manufactured in India, this form of renal replacement therapy can be utilised for infants, children, adults and geriatric population. The absolute contraindications are a non-functioning peritoneal and patients with serious cognitive dysfunction. A swan neck catheter with two cuffs is preferred in view of low exit site infection, infective complications such as peritonitis and malnutrition should be prevented by appropriate training and nutritional counselling. We had two patients who lived on CAPD for more than 15 years. Adequacy of dialysis should be ensured by looking at different parameters including Kt/v and physical wellbeing of the patient. Continuous quality improvement (CQI) is mandatory to prevent dropouts.
Authors and Affiliations
Karthik Balasubramaniam, Georgi Abraham
Keywords
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