Peritoneal Dialysis

Kidney function will be reduced to less than 15% due to end-stage renal failure. When that occurs, there are two kinds of treatment: hemodialysis or renal transplantation.

There are two types of dialysis: Haemodialysis and peritoneal dialysis. This page addresses peritoneal dialysis. In peritoneal dialysis, the patient's peritoneum (membrane present within the abdomen) is used for the purpose of dialysis. Percutaneous peritoneal dialysis occurs within the body of a patient.

A catheter is usually installed through the abdomen by a physician for Peritoneal dialysis. The catheter is positioned about two inches below and to the side of the patient's navel. About two inches of the catheter extends out of the body.

The Peritoneum is soaked through the catheter with a peritoneal dialysate (fluid with substances that remove waste products from the body). The dialysate absorbs excess fluid and wastes. The dialysate remains in the Peritoneum for a time known as dwell time.

Type of Peritoneal Dialysis

Peritoneal dialysis is of the following types:

  • 1_ Intermittent Peritoneal Dialysis (IPD): IPD is occasionally implemented by the kidney specialists for a temporary period to patients whose blood pressure is low and high in acute renal failure. This is an administered procedure performed for 24-48 hours.
  • 2_ Continuous Ambulatory Peritoneal Dialysis (CAPD): The continuous ambulatory peritoneal dialysis (CAPD) patient manually fills his or her own Peritoneum with dialysate and there are no dry times.
  • 3_ Automated Peritoneal Dialysis (APD): A Central Line Peritoneal Dialysis (CLPD) unit uses an automated cycle machine to perform nocturnal peritoneal dialysis (APD). At night, the patient is merely asleep during the time of the APD.
  • 4_ Continuous Cyclic Peritoneal Dialysis (CCPD): In this therapy, the patient's Peritoneum is filled with the dialysate overnight by a machine and the exchanges are made while the machine is dormant. The patient is not connected to the machine during the day, furthering their mobility.
  • 5_ Daytime Ambulatory Peritoneal Dialysis (DAPD): When the dialysate is filled in the peritoneum during daytime hours, it dries out at night.
  • 6_ Nighttime Intermittent Peritoneal Dialysis (NIPD): When using this method of dialysis during the night, the patient inserts a tube through his or her peritoneal cavity that is manually filled with water during the day or is filled in a cyclic manner.

CAPD Centre

BON Hospital Hospitals in partnership with Baxter has created an adult patient day care center with a coordinator trained in adult patient care manning the facility.
 At the facility, patients have been initiated on adult patient care. Patients and attendees are also coached on the procedure, hygiene, and so on.
The dialysis center provides an interdisciplinary counseling strategy to the sufferers for the various strategies available for patients with end-stage renal disease. The facility also has a cycler machine which can be utilized if a patient requires CCPD. This cycler process is fully automatic.