Role of regional anesthesia for placement of peritoneal dialysis catheter under ultrasound guidance: Our experience with 52 end-stage renal disease patients

Objective To review the role of Na, K-ATPase inhibitors in the pathogenesis of essential hypertension and hypertension associated with end-stage renal disease. Data Sources MEDLINE search, 1966 to 1997. Results There is a suggestive physiologic and epidemiologic relationship between Na, K-ATPase inhibition and hypertension. However, clearance data cannot support the hypothesis that differential metabolism of this family of compounds explains the improved hypertensive control seen in patients on peritoneal dialysis compared to those on hemodialysis. Conclusions As a result of the complex methodologies involved, it is unclear whether Na, K-ATPase inhibitors playa significant role in the hypertension of endstage renal disease in general and peritoneal dialysis in particular.

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Integrated end-stage renal disease care: the role of peritoneal dialysis

Nephrology Dialysis Transplantation ◽

10.1093/ndt/16.suppl_5.61 ◽

2001 ◽

Vol 16 (suppl 5) ◽

pp. 61-66 ◽

Cited By ~ 45

Author(s):

P. G. Blake

Keyword(s):

Peritoneal Dialysis ◽

Renal Disease ◽

End Stage Renal Disease ◽

Stage Renal Disease ◽

End Stage

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An institutional experience in insertion of hemodialysis catheter and peritoneal dialysis catheter for children with end stage renal disease

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20193703 ◽

2019 ◽

Vol 6 (5) ◽

pp. 1802

Author(s):

Anit Joseph K. ◽

Vivek P. Sarma ◽

Aravind C. S. ◽

Sethunath S. ◽

Sivakumar K. ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Renal Disease ◽

End Stage Renal Disease ◽

Image Guidance ◽

Catheter Insertion ◽

Dialysis Catheter ◽

Hemodialysis Catheter ◽

Stage Renal Disease ◽

Operative Notes ◽

End Stage

Background: Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are major health care problems worldwide even in Pediatric population. The etiology of CKD in children with ESRD is varied. Most of them are started on peritoneal dialysis or hemodialysis before being considered for renal transplantation.The aims and objective of this study was to analyzed the patient group, methodology, results and outcomes of hemodialysis catheter insertion and continuous ambulatory peritoneal dialysis (CAPD) catheter insertion for children with ESRD. The etiology of ESRD in children with CKD is also reviewed.Methods: All children with ESRD who underwent CAPD catheter and haemodialysis catheter insertion over a period of 5 years were included in the study. CAPD catheters were inserted by open and laparoscopic assisted methods. The procedures were done without image guidance due to logistical constraints in a limited resource scenario. Analysis of all relevant case records, operative notes and postoperative events were done.Results: A total of 40 patients who underwent CAPD and hemodialysis catheter insertions were analysed. The primary cases (no previous insertion of dialysis catheter) included 29 and secondary cases (history of previous insertion of dialysis catheter) were 7. Re-insertions (of the same type of dialysis catheter) were 2 in each group. No significant complications occurred in either group.Conclusions: Dialysis catheters for ESRD in Paediatric population can be inserted safely even without image guidance and with very few complications.

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Synchronous Laparoscopic Insertion of Peritoneal Dialysis Catheter and Cholecystectomy in Patients with End-Stage Renal Disease and Gallstones – Our Experience

Peritoneal Dialysis International ◽

10.3747/pdi.2019.00003 ◽

2019 ◽

Vol 39 (5) ◽

pp. 489-491

Author(s):

Jurij Janež

Keyword(s):

Peritoneal Dialysis ◽

Renal Disease ◽

End Stage Renal Disease ◽

Peritoneal Dialysis Catheter ◽

Peritoneal Catheter ◽

Gallbladder Polyps ◽

Stage Renal Disease ◽

End Stage ◽

Infective Complications ◽

Gallbladder Removal

In patients with end-stage renal disease who are candidates for peritoneal dialysis (PD) and have gallstones or gallbladder polyps, it is advised to perform synchronous insertion of PD catheter and cholecystectomy. With gallbladder removal at the time of peritoneal catheter insertion we can avoid infective complications, such as acute cholecystitis and possible PD failure. This article presents our experience with synchronous laparoscopic cholecystectomy and insertion of a PD catheter.

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A Technique to Eradicate Tunnel Infection without Peritoneal Dialysis Catheter Removal

Peritoneal Dialysis International ◽

10.1177/089686088400400311 ◽

1984 ◽

Vol 4 (3) ◽

pp. 156-157 ◽

Cited By ~ 16

Author(s):

Sharon P. Andreoli ◽

Karen W. West Jay ◽

L. Grosfeld ◽

Jerry M. Bergstein

Keyword(s):

Peritoneal Dialysis ◽

End Stage Renal Disease ◽

Major Complication ◽

Catheter Removal ◽

Dramatic Improvement ◽

Peritoneal Dialysis Catheter ◽

Dialysis Catheter ◽

Peritoneal Catheter ◽

Stage Renal Disease ◽

End Stage

In two adolescents maintained on CAPD, infections of the peritoneal catheter tunnel were treated by an “unroofing” technique. The infections were eradicated without catheter removal or interruption of CAPD. Continuous ambulatory peritoneal dialysis (CAPD) has produced a dramatic improvement in the care of patients with end-stage renal disease. Peritonitis remains a major complication and the most common cause of CAPD failure (1–3). Most episodes of peritonitis can be attributed to a break in the technique of bag exchanges; however, tunnel infections are also implicated (3,4). Tunnel infections are difficult to cure and, if persistent, may make necessary the removal of an otherwise well functioning catheter. We describe two patients with tunnel infections that were eradicated after “unroofing” of the Tenckhoff catheter.

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