Canis ISSN: 2398-2942

Peritoneal dialysis

Synonym(s): PD

Contributor(s): Alina Stefanescu, Alexandru Vitalaru, Laura Cole

Introduction

  • Dialysis is the movement of a solute down its concentration gradient across a semipermeable membrane.
  • Hemodialysis is an extracorporeal therapy whereby solutes moves down their concentration gradient from plasma to a dialysate solution outside the body.
  • Peritoneal dialysis is an intracorporal therapy whereby the peritoneal surface is used as a semipermeable membrane.
  • Peritoneal dialysis is an excellent substitute for hemodialysis when the latter is not available or in small and/or unstable patients that cannot tolerate extracorporeal therapy.
  • In veterinary medicine, the most common use for peritoneal dialysis is for the management of anuric acute kidney injury, pre-surgery stabilization of an uroabdomen and associated severe electrolyte and acid-base abnormalities. It may also be utilized for removing dialyzable toxins and in the management of heat stress, pancreatitis and fluid overload.

Indications

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Contraindications

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Types of peritoneal catheters

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Peritoneal catheter insertions

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Peritoneal dialysis system

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Protocol

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Complications

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Acierno M J, Labato M (2011) Preface: Kidney Diseases and Renal Replacement Therapies. Vet Clin Sm Anim Pract 41 (1), xi-xii PubMed.
  • Gabardi S, Abramson S (2005) Drug dosing in chronic kidney disease. Med Clin North Am 89 (3), 649-87 PubMed.
  • Thornhill J A (1981) Peritoneal dialysis in the dog and cat. Compend Contin Educ Prac Vet 3, 20-34.

Other sources of information

  • Hemodialivet: www.hemodialivet.ro.
  • Viţălaru B A (2015) Elemente cheie în managementul pacienţilor cu insuficienţă renală supuşi dializei peritoneale. The 10th International Congress AMVAC, Sinaia, 12-14 November 2015.
  • Viţălaru B A, Ştefănescu Alina (2015) Terapia adjuvantă în insuficiența renală la pisici. Cat life, nr.7 (1/2015).
  • Viţălaru B A, Micşa C (2015) Peritoneal Dialysis in Acute Renal and Liver Failure Agriculture and Agricultural Science Procedia, Volume 6C, pp 392-396.
  • Viţălaru B A, Micşa C, Bîrţoiu I A (2014) Peritoneal dialysis: key therapy in kidney failure in small sized dogs. Bulletin UASVM Veterinary Medicine 71(2), Print ISSN 18435270; Electronic ISSN 1843-5378, DOI:10.15835/buasvmcn-vm: 10737.
  • Viţălaru B A (2014) Dializa peritoneală în medicina veterinară. Veterinaria pp. 18-20, CMV România, No. 16, October-December.
  • Viţălaru B A (2014) Dializa peritoneală la pisică. Cat life pp. 6-8, SRMF, No. 6, 3/2014.
  • Viţălaru B A (2014) Hemodializa vs. dializa peritoneală la carnivorele domestice. Practica veterinară pp 32-41, AMVAC, No. 4/2014.
  • Plunkett S J (2013) Emergency Procedures for the Small Animal Veterinarian. 3rd edn, Saunders.
  • Eldahshan K (2012) Drugs and Kidney: Clinical Pharmacology for The Nephrologist.
  • Donohoe C (2012) Fluid Therapy for Veterinary Technicians and Nurses. Wiley-Blackwell.
  • Mazzaferro E (2012) Blackwell’s Five-Minute Veterinary Consult - Clinical Companion Small Animal Emergency and Critical Care. Wiley Blackwell.
  • Bartges J, Polzin D J (2011) Nephrology and Urology of Small animals. Blackwell Publishing Ltd., UK, pp 433.
  • Elliott D A (2011) Nutritional Considerations for the Dialytic Patient, Kidney Diseases and Renal Replacement Therapies. W. B. Saunders, Philadelphia, USA.
  • Holowaychuk M, Marks S L (2011) Peritoneal Dialysis. Critical Care Medicine Section, Department of Clinical Sciences, North Carolina State University.
  • Langston C (2011) Chronic Kidney Disease in Cats. Elsevier.
  • Ross L (2011) Acute Kidney Injury in Dogs and Cats. In: Kidney Diseases and Renal Replacement Therapies. W. B. Saunders, Philadelphia, USA.
  • Drobatz K J, Costello M F (2010) Feline Emergency and Critical Care Medicine. Wiley-Blackwell.
  • Michell A R (2010) Renal disease in dogs and cats. Blackwell, Oxford, UK.
  • Polzin D (2006) Treating canine kidney disease: an evidence-based approach. College of Veterinary Medicine University of Minnesota, St. Paul, MN, Proceedings of the North American Veterinary Conference, Volume 20, Orlando, Florida, January 7-11, 2006.


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