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“Dry Days” in Automated Peritoneal Dialysis: Impact on Dialysis Delivery
Author(s) -
DiazBuxo Jose A.
Publication year - 1995
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.1995.tb00392.x
Subject(s) - medicine , peritoneal dialysis , continuous ambulatory peritoneal dialysis , dialysis , ultrafiltration (renal) , ambulatory , intensive care medicine , creatinine , urology , surgery , chromatography , chemistry
In our peritoneal dialysis program, it is common practice in continuous cyclic peritoneal dialysis (CCPD) patients to omit the daytime dwell without a medical reason for doing so (e.g., ultrafiltration problems). This practice eliminates more than half of the patient's daily dialysate‐membrane contact. Since the value of continuous ambulatory peritoneal dialysis (CAPD)/ICCPD is based to a significant extent on the enhanced middle molecule clearance that depends on continuous dialysate‐membrane contact, I am concerned about the risks that “dry days” entail. Mightn't outcomes be different (worse) in these patients even if Kt/IV urea (or even creatinine clearance) is maintained?