A new dialysis in poor risk patients.

EGAWA Shin, SHINOHARA Katsuto, KUMANO Kazuo, SAKAI Tadasu

doi:10.11392/jsao1972.14.123

We have recently experienced CEPD (continuous equilibration peritoneal dialysis) in 8 poor risk patients, which was introduced by Posen et al. in 1978. We found CEPD is more suitable in some patients with poor risk than the conventional dialysis techniques. The biggest advantage of CEPD is easy to maintain water balance for the patients being required the large amount of intravenous infusion in treatment such as hyperelimentation; The risk of peritonitis is less frequent in CEPD than in conventional peritoneal dialysis, which may cause a lethal complications in the immunosuppressed patients of ARF. Once the nurses are well trained, the management of those patient is less complicated in terms of nursing care. In addition, the patient after intracranial operation is the good indication of CEPD especially in the early postoperative period to prevent from increasing the intracranial pressure, which could sometimes happen during hemodialysis or acute peritoneal dialysis. CEPD seems much easier to avoid hypovolemic component especially in the early stage of ARF because rapid removal of extracellular fluid in HD or APD does not occur. It might be possible that this can benefit to improve impaired function of renal tubules. In conclusion, CEPD can well be applied to the treatment for some patients with poor risk.

A new dialysis in poor risk patients.

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