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Urgent-Start Peritoneal Dialysis – a viable option? A case report and literature review

2020Journal article Open access
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dc.contributor.authorTavares, J
dc.contributor.authorSilva, F
dc.contributor.authorLima, A
dc.contributor.authorCarvalho, MJ
dc.contributor.authorCabrita, A
dc.contributor.authorRodrigues, A
dc.date.accessioned2020-09-22T10:10:16Z
dc.date.available2020-09-22T10:10:16Z
dc.date.issued2020
dc.description.abstractBackground: Many patients with end -stage renal disease start renal replacement therapy in an unplanned manner. The vast majority initiate hemodialysis by a central venous catheter, since its use is more widespread and available. This technique is associated with a high risk of infection and damage of the vascular patrimony associated with the use of central veins. Urgent -start peritoneal dialysis comes as an alternative treatment for selected patients. Case report: A 55 -year -old woman with focal segmental glomerulosclerosis presented with a rapid decline of renal function and was given renal replacement therapy counselling and opted for peritoneal dialysis. Her chosen modality was postponed for one month due to early uremic symptoms, followed by hemodialysis start through a central venous catheter. During this period a sepsis due to central venous catheter infection occurred, implying four weeks of intravenous antibiotics. Discussion and Conclusion: Although there has been an increase in the number of publications on urgent -start peritoneal dialysis, showing that this technique has comparable results either to urgent -start hemodialysis and planned -start peritoneal dialysis, there still is some resistance to the use of this modality. Given the importance of this subject, this review aims to describe and summarize the available evidence on urgent -start peritoneal dialysis outcomes. Moreover, specific barriers are addressed. Its use is encouraged in hospitals where peritoneal dialysis is available, as an opportunity to improve chronic kidney disease patient management and transition to dialysis.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPort J Nephrol Hypert 2020; 34(2): 110-115pt_PT
dc.identifier.doihttp://doi.org/10.32932/pjnh.2020.07.076pt_PT
dc.identifier.issn2183-1289
dc.identifier.urihttp://hdl.handle.net/10400.10/2496
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedade Portuguesa de Nefrologiapt_PT
dc.relation.publisherversionhttp://www.bbg01.com/cdn/rsc/spnefro/advaccess/248/Nefro342CasereportUrgentStartPeritonealDialysis.pdfpt_PT
dc.subjectPeritoneal dialysispt_PT
dc.subjectAcute kidney injurypt_PT
dc.subjectContinuous renal replacement therapypt_PT
dc.subjectRenal dialysispt_PT
dc.titleUrgent-Start Peritoneal Dialysis – a viable option? A case report and literature reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceLisboapt_PT
oaire.citation.titlePortuguese Journal of Nephrology and Hypertensionpt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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