scholarly journals A case of damage to a peritoneal dialysis tubing by a pet cockatoo and review of the literature

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Toshihide Naganuma ◽  
Yoshiaki Takemoto ◽  
Junji Uchida ◽  
Tatsuya Nakatani
Keyword(s):  
Peritoneal Dialysis ◽  
Review Of The Literature ◽  
Dialysis Tubing

scholarly journals Extrusion of both Superficial and Deep Cuffs of a Functional Double-Cuff Peritoneal Dialysis Catheter after Significant Weight Loss

2021 ◽  
pp. 190-194
Author(s):  
Aravindh S. Ganapathy ◽  
Myron S. Powell ◽  
James L. Pirkle
Keyword(s):  
Weight Loss ◽  
Peritoneal Dialysis ◽  
Subcutaneous Tissue ◽  
Peritoneal Dialysis Catheter ◽  
Dialysis Catheter ◽  
Review Of The Literature ◽  
Significant Weight Loss ◽  
Exit Site ◽  
Special Circumstances ◽  
Uncommon Complication

Extrusion of the superficial cuff of a peritoneal dialysis (PD) catheter is an uncommon complication that may be associated with infection or malfunction. However, extrusion of both the superficial and deep cuffs of a double-cuff catheter is rare and uniformly associated with failure and peritonitis. We report a case of a presternal-type PD double-cuff catheter with extrusion of both cuffs through an abdominal exit site after 6 years of use that has remained functional, which has not been previously reported. In this case, the patient had achieved a 60-kg weight loss resulting in retraction of the subcutaneous tissue around both cuffs, while the catheter was held in place by the titanium connector between the presternal extension tubing and the inner, coiled catheter. In such special circumstances, extrusion of both cuffs may not necessitate urgent catheter removal. A review of the literature revealed previous cases of superficial cuff extrusions with catheters remaining functional but not with deep cuff extrusion.

Reverse epidemiology in peritoneal dialysis patients: the Canadian experience and review of the literature

2006 ◽  
Vol 39 (1) ◽  
pp. 281-288 ◽  
Author(s):  
T. Pliakogiannis ◽  
L. Trpeski ◽  
H. Taskapan ◽  
H. Shah ◽  
M. Ahmad ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Review Of The Literature ◽  
Dialysis Patients ◽  
Reverse Epidemiology ◽  
Canadian Experience

397-P: Insulin Dosing Adjustments in Patients with Diabetes on Peritoneal Dialysis or Hemodialysis: A Systematic Review of the Literature

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 397-P
Author(s):  
ROBIN TUMLINSON ◽  
EMILY BLAINE ◽  
MARION COLVIN ◽  
TYLER G. HAYNES ◽  
HEATHER P. WHITLEY
Keyword(s):  
Systematic Review ◽  
Peritoneal Dialysis ◽  
Review Of The Literature ◽  
Patients With Diabetes

scholarly journals (1→3)-β–d-Glucan and Galactomannan for Differentiating Chemical “Black Particles” and Fungal Particles Inside Peritoneal Dialysis Tubing

2016 ◽  
Vol 36 (4) ◽  
pp. 402-409 ◽  
Author(s):  
Asada Leelahavanichkul ◽  
Krit Pongpirul ◽  
Nisa Thongbor ◽  
Navaporn Worasilchai ◽  
Kwanta Petphuak ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Foreign Bodies ◽  
Cape Cod ◽  
Fungal Colonization ◽  
Dialysis Patients ◽  
Dialysis Tubing ◽  
Fungal Cell ◽  
Spent Dialysate ◽  
Fungal Particles ◽  
Wall Components

BackgroundAseptic, sheet-like foreign bodies observed inside Tenckhoff (TK) catheter lumens (referred to as “black particles”) are, on gross morphology, hardly distinguishable from fungal colonization because these contaminants adhere tightly to the catheter. Detection of fungal cell wall components using (1→3)-β–d-glucan (BG) and galactomannan index (GMI) might be an alternative method for differentiating the particles.MethodsForeign particles retrieved from TK catheters in 19 peritoneal dialysis patients were examined microscopically and cultured for fungi and bacteria. Simultaneously, a Fungitell test (Associates of Cape Cod, Falmouth, MA, USA) and a Platelia Aspergillus ELISA assay (Bio-Rad Laboratories, Marnes-La-Coquette, France) were used to test the spent dialysate for BG and GMI respectively.ResultsOf the 19 patients, 9 had aseptic black particles and 10 had fungal particles in their tubing. The fungal particles looked grainy, were tightly bound to the catheter, and appeared more “colorful” than the black particles, which looked sheet-like and could easily be removed by milking the tubing. Compared with effluent from patients having aseptic particles, effluent from patients with fungal particles had significantly higher levels of BG (501 ± 70 pg/mL vs. 46 ± 10 pg/mL) and GMI (10.98 ± 2.17 vs. 0.25 ± 0.05). Most of the fungi that formed colonies inside the catheter lumen were molds not usually found in clinical practice, but likely from water or soil, suggesting environmental contamination. Interestingly, in all 10 patients with fungal colonization, visualization of black particles preceded a peritonitis episode and TK catheter removal by approximately 1–3 weeks; in patients with aseptic particles, a 17-week onset to peritonitis was observed.ConclusionsIn all patients with particle-coated peritoneal dialysis tubing, spent dialysate should be screened for BG and GMI. Manipulation of the TK catheter by squeezing, hard flushing, or even brushing to dislodge black particles should be avoided. Replacement of the TK catheter should be suspended until a cause for the particles is determined.

scholarly journals PERITONEAL DIALYSIS IN TREATMENT FOR PATIENTS WITH ACUTE KIDNEY INJURY

2017 ◽  
pp. 58-64
Author(s):  
M. Kolesnyk ◽  
N. Stepanova
Keyword(s):  
Acute Kidney Injury ◽  
Peritoneal Dialysis ◽  
Renal Replacement Therapy ◽  
Continuous Flow ◽  
Kidney Injury ◽  
Review Of The Literature ◽  
Dialysis Dose ◽  
Risk Of Bleeding ◽  
Coagulation Abnormalities ◽  
In Infants And Children

This article is a review of the literature. Peritoneal dialysis (PD) was the first method of dialysis renal replacement therapy (DRRT), used for the treatment of patients with acute kidney injury (AKI). PD is able to correct metabolic, electrolyte, acid-alkali disorders and hypervolemia in patients with AKI. Continuous equilibration PD and continuous flow PD can provide of dialysis dose compared with extracorporeal methods of DRRT. However, PD is considered less effective than hemodialysis. In this regard, PD has used in patients with AKI, especially those who are hemodynamically unstable or at risk of bleeding because of severe coagulation abnormalities, in infants and children with AKI, and in patients with circulatory failure.

scholarly journals Refractory Peritoneal Dialysis Peritonitis Due to Neisseria macacae: A Case Report and Review of the Literature

2020 ◽  
Vol 59 (18) ◽  
pp. 2287-2290 ◽  
Author(s):  
Takuji Iyama ◽  
Shintaro Hamada ◽  
Tomoaki Takata ◽  
Shotaro Hoi ◽  
Satoko Fukuda ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Case Report ◽  
Review Of The Literature
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