Peritoneal dialysis in acute kidney injury: lessons learned and applied.

abstract：:Hospitalizations drive up to 35% of the astronomical costs of care for patients on hemodialysis and are associated with poor outcomes. We describe outpatient care-sensitive categories of hospitalization risks in an effort to engage stakeholders and patients, as stakeholders, in mitigating hospitalizations. These categ...

journal_title：Seminars in dialysis

authors： Golestaneh L

更新日期：2018-05-01 00:00:00

abstract：:While oral diuretics are commonly used in patients with chronic kidney disease for the management of volume and blood pressure, they are often discontinued upon initiation of dialysis. We suggest that diuretics are considerably underutilized in peritoneal dialysis and haemodialysis patients despite numerous potential ...

journal_title：Seminars in dialysis

authors： Trinh E,Bargman JM

更新日期：2016-09-01 00:00:00

abstract：:Many dialysis machines can compute dialyzer sodium clearances at multiple time points during a dialysis treatment using conductivity. For a given treatment, the average dialyzer sodium clearance (K), when combined with treatment time (t), and the estimated urea distribution volume (V, usually based on either anthropom...

journal_title：Seminars in dialysis

authors： Daugirdas JT

更新日期：2018-11-01 00:00:00

abstract：:Elderly individuals comprise an ever-increasing proportion of patients on renal replacement therapy (RRT). As in younger patients, cardiovascular events are the major cause of death in the elderly on RRT, although the relative proportion succumbing to cardiovascular events is similar to that in young patients. An impo...

journal_title：Seminars in dialysis

authors： Dikow R,Zeier M,Ritz E

更新日期：2002-03-01 00:00:00

abstract：:Parathyroidectomy (PTX) remains an important intervention for dialysis patients with poorly controlled secondary hyperparathyroidism (SHPT), though there are only retrospective and observational data that show a mortality benefit to this procedure. Potential consequences that we seek to avoid after PTX include persist...

journal_title：Seminars in dialysis

authors： Kakani E,Sloan D,Sawaya BP,El-Husseini A,Malluche HH,Rao M

更新日期：2019-11-01 00:00:00

abstract：:Meta-analyses of the published literature are increasingly being used, allowing similar clinical trials to be combined quantitatively, thereby increasing the precision of the estimation of treatment effect. Four meta-analyses were recently published comparing the impact of dialysis membranes or dialysis modality on cl...

journal_title：Seminars in dialysis

authors： Teehan GS,Liangos O,Lau J,Levey AS,Pereira BJ,Jaber BL

更新日期：2003-09-01 00:00:00

abstract：:Over the past decade, patients returning to dialysis after a failed transplant comprised of 5-10% of the annual number of dialysis initiations in the United States, whereas retransplant candidates account for 5.0-13% of the annual deceased donor wait-list additions. The United States Renal Data System (USRDS) database...

journal_title：Seminars in dialysis

authors： Pham PT,Pham PC

更新日期：2011-05-01 00:00:00

abstract：:Bedside removal of tunneled hemodialysis catheters (TDC) by noninterventional Nephrologists has not been frequently performed or studied. We performed a retrospective review of bedside TDC removal at the University of Mississippi Medical Center between January, 2010 and June, 2013. We collected data on multiple patien...

journal_title：Seminars in dialysis

authors： Fülöp T,Rodríguez B,Kosztaczky BA,Gharaibeh KA,Lengvárszky Z,Dossabhoy NR,Tapolyai MB

更新日期：2015-09-01 00:00:00

abstract：:This report reviews the most common surgical interventions and complications of chronic peritoneal dialysis (PD) patients. Based on the current knowledge as well as our experience we detail the role of these surgical procedures. We supplement the reported knowledge in the field with our own experience in this area. Th...

journal_title：Seminars in dialysis

authors： Ratajczak A,Lange-Ratajczak M,Bobkiewicz A,Studniarek A

更新日期：2017-01-01 00:00:00

abstract：:United States standards for the microbiologic quality of dialysate are not very stringent and have remained unchanged for more than 20 years, despite significant changes in the patient population and in the technology of hemodialysis. Numerous studies have demonstrated that bacterial products can cross dialysis membra...

journal_title：Seminars in dialysis

authors： Ward RA

更新日期：2000-11-01 00:00:00

abstract：:The in-center dialysis unit and practice of dialysis, in the current multi-team approach, requires knowledge and skills in all the domains including medical expert, communicator, collaborator, scholar, health advocate, and leader. We are tasked as a community, to embrace and incentivize new innovations and technology ...

journal_title：Seminars in dialysis

authors： Moist LM,Lindsay RM

更新日期：2018-03-01 00:00:00

abstract：:Depression has been documented as the most frequently encountered psychological problem in end-stage renal disease (ESRD) patients and has been correlated with both mortality and morbidity in these patients. Previous work by our group has shown that clinical depression is treatable with psychotropic medications in the...

journal_title：Seminars in dialysis

authors： Wuerth D,Finkelstein SH,Kliger AS,Finkelstein FO

更新日期：2003-11-01 00:00:00

abstract：:Both the morbidity of the uremic syndrome and the generation of uremic toxins are attributed to malnutrition. If protein intake and catabolism result in the generation of solutes, then nutritional intake should be related directly to toxicity. On the other hand, inadequate nutrition has been linked to inflammation and...

journal_title：Seminars in dialysis

authors： Vanholder R,Glorieux G,Lameire N

更新日期：2002-09-01 00:00:00

abstract：:Extracorporeal elimination of drugs and toxins is a critical component in the management of poisonings, though specific techniques and indications remain a matter of debate. Conventional hemodialysis is frequently the treatment of choice because of its widespread availability and proven effectiveness for certain drugs...

journal_title：Seminars in dialysis

authors： Goodman JW,Goldfarb DS

更新日期：2006-09-01 00:00:00

abstract：:Leptin is mainly produced by adipocytes and metabolized in the kidney. Leptin is taken up into the central nervous system by a saturable transport system, and controls appetite in rodents and in healthy subjects. Leptin acts on peripheral tissue and increases the inflammatory response by stimulating the production of ...

journal_title：Seminars in dialysis

authors： Scholze A,Tepel M

更新日期：2007-11-01 00:00:00

abstract：:Withdrawal from dialysis is an appropriate decision for situations in which the burdens of treatment outweigh the benefits. Alternately, it can be viewed as a public health problem and suicide equivalent that contributes to the high mortality of end-stage renal disease (ESRD). More than one in five deaths of patients ...

journal_title：Seminars in dialysis

authors： Cohen LM,Germain MJ

更新日期：2005-03-01 00:00:00

abstract：:Cardiovascular complications are the leading cause of mortality in patients with end-stage renal disease (ESRD). The excess cardiovascular risk and mortality is already demonstrable in early renal disease and in patients with chronic renal failure (CRF), with the highest relative risk of mortality in the youngest pati...

journal_title：Seminars in dialysis

authors： London GM

更新日期：2003-03-01 00:00:00

abstract：:Measurement of small molecule clearance remains important in the clinical care of patients requiring long-term dialysis. Many patients maintain a significant degree of residual native kidney function and may have nontraditional schedules with or without combined dialysis modalities. In this review, we examine and outl...

journal_title：Seminars in dialysis

authors： Chin AI,Depner TA,Daugirdas JT

更新日期：2017-05-01 00:00:00

abstract：:Calciphylaxis, a disorder of dermal arteriolar calcification with a distinct predilection for patients with advanced kidney disease, remains an enigmatic condition that challenges clinicians. Observations regarding positive associations between levels of circulating parathyroid hormone (PTH) and the risk of calciphyla...

journal_title：Seminars in dialysis

authors： Nigwekar SU,Sprague SM

更新日期：2016-07-01 00:00:00

abstract：:Acute kidney injury (AKI) is common in patients with multiple myeloma (MM), most commonly caused by cast nephropathy resulting from precipitation of free light chains (FLC) in renal tubules. AKI may be irreversible and require dialysis and predicts a poor prognosis. Reduction in serum FLC concentration is thought to b...

journal_title：Seminars in dialysis

authors： Gakhar B,Kobrin S,Berns JS

更新日期：2011-01-01 00:00:00

abstract：BACKGROUND:The aim of the present study was to perform a comparative analysis of peritoneal dialysis catheter (PDC) insertion between blind and surgical methods by nephrologists. PATIENTS AND METHODS:The present study enrolled 249 peritoneal dialysis patients who received first-time PDC insertion. All PDC insertions w...

journal_title：Seminars in dialysis

authors： Kang SH,Park JW,Cho KH,Do JY

更新日期：2020-07-23 00:00:00

abstract：:Dialysis patients are at high risk for fracture, with published rates in excess of a 20% probability of fracture over the next 10 years of dialysis. Unfortunately, there is no accepted methodology for quantifying this risk in advance of the first fracture; conventional bone densitometry performs unreliably in this rol...

journal_title：Seminars in dialysis

authors： Jamal SA,Hodsman AB

更新日期：2011-01-01 00:00:00

abstract：:Concern over the inherent inefficiency of solute removal by conventional peritoneal dialysis (PD) has led to renewed interest in continuous flow PD (CFPD). We present clinical data from two experiences with CFPD. In the first, two catheters were used to recirculate a fixed intraperitoneal volume through an external ci...

journal_title：Seminars in dialysis

authors： Amerling R,DeSimone L,Inciong-Reyes R,Pangilinan A,Folden T,Ronco C,Gotch FA,Levin N

更新日期：2001-09-01 00:00:00

abstract：:With the current understanding that atherosclerosis is an inflammatory disorder, markers of the associated systemic inflammatory response have been extensively studied as predictors of cardiovascular disease. Recently the use of high-sensitivity C-reactive protein (hsCRP) has been proposed for risk assessment in indiv...

journal_title：Seminars in dialysis

authors： Rao M,Jaber BL,Balakrishnan VS

更新日期：2006-03-01 00:00:00

abstract：:In response to rapid alkali delivery during hemodialysis, hydrogen ions (H+ ) are mobilized from body buffers and from stimulation of organic acid production in amounts sufficient to convert most of the delivered bicarbonate to CO2 and water. Release of H+ from nonbicarbonate buffers serves to back-titrate them to a m...

journal_title：Seminars in dialysis

authors： Sargent JA,Marano M,Marano S,Gennari FJ

更新日期：2019-05-01 00:00:00

abstract：:Dialysis vascular access associated coronary-subclavian steal or hypoperfusion syndrome is an uncommon but potentially life threatening condition. Awareness of this syndrome is important in the management of vascular access in hemodialysis patients. We report a case of dialysis vascular access associated coronary-subc...

journal_title：Seminars in dialysis

authors： Tan CS,Fintelmann F,Joe J,Ganguli S,Wu S

更新日期：2013-09-01 00:00:00

abstract：:Dialysis remains the predominant form of renal replacement therapy in the United States, but the optimal timing for the initiation of dialysis remains poorly defined. Not only clinical factors such as signs/symptoms of uremia, co-existing cardiovascular disease, and presence of diabetes but also key demographic charac...

journal_title：Seminars in dialysis

authors： Streja E,Nicholas SB,Norris KC

更新日期：2013-11-01 00:00:00

abstract：:Late referral of patients with chronic kidney disease (CKD) and end-stage renal disease (ESRD) for evaluation of kidney transplantation is common. Even though renal transplantation offers a clear survival benefit to patients with advanced CKD and ESRD and should be considered the renal replacement therapy of choice, n...

journal_title：Seminars in dialysis

authors： Peev V

更新日期：2016-07-01 00:00:00

abstract：:Data derived from a large cohort of hemodialysis patients (12,896) undergoing dialysis access maintenance procedures being performed by interventional nephrologists were analyzed to determine the safety of sedation/analgesia (S/A) in a freestanding facility. Data collected included patient demographics, procedures per...

journal_title：Seminars in dialysis

authors： Beathard GA,Urbanes A,Litchfield T,Weinstein A

更新日期：2011-01-01 00:00:00

abstract：:The bone disease associated with end-stage renal failure (ESRD) and treatment are complex and multifactorial, and has changed in both clinical and imaging features over the past three decades. Whereas previously features of vitamin D deficiency (rickets/osteomalacia) and intense, and prolonged, secondary hyperparathyr...

journal_title：Seminars in dialysis

authors： Adams JE

更新日期：2002-07-01 00:00:00