Use of automated cycler equipment is currently limited to a fraction of the peritoneal dialysis population. Various technical barriers combined in the past to inhibit its wider application. We have treated forty-seven patients over an eight year period with cycler dialysis, and have observed the evolution of this modality from a treatment of last resort to a first choice therapy for many patients--especially those who work.
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Ren Fail
December 2024
Division of Nephrology, University of Maryland School of Medicine, Baltimore, MD, USA.
Background And Aims: Dwell time is a critical component of automated peritoneal dialysis (APD) prescription, the stage at which transmembrane mass and fluid transfer occur. Loss of prescribed dwell time (LDT) can negatively influence the efficiency of APD. We investigated the incidence of LDT and related causes using APD in the acute care setting at a tertiary care center.
View Article and Find Full Text PDFSemin Dial
November 2024
Division of Nephrology, Asia University Hospital, Taichung, Taiwan.
Background: Tidal peritoneal dialysis (TPD) provides better fluid flow mechanics and is more comfortable for the patient, owing to fewer alarms and less pain during inflow and outflow. The long-term characteristics of patients with TPD were not evident. In this randomized controlled follow-up study, we aimed to explore the characteristics of patients with TPD, compared to IPD.
View Article and Find Full Text PDFJ Pers Med
July 2024
Telemedicine Referente ASLCN2-Nephrology and Dialysis Unit ASLCN2, Ospedale "Michele e Pietro Ferrero", Via Tanaro, 7-9, Verduno, 12060 Cuneo, Italy.
The management of end-stage kidney disease (ESKD) has been constantly evolving over the last decade with the development of targeted approaches. In this field, telemedicine and remote monitoring are based on the availability of new cyclers that allow for bidirectional communication (between patient and physician) and for the application of the Sharesource cloud-based platform. These technologies allow patients with ESKD to undergo automated peritoneal dialysis (APD) at home.
View Article and Find Full Text PDFBMC Nephrol
August 2024
Nephrology Section, Medical Clinic 1, University Hospital Bonn, Rheinische Friedrich- Wilhelms Universität Bonn, Venusberg Campus 1, D-53127, Bonn, Germany.
Background: Urinary Dickkopf 3 (DKK3) excretion is a recently established biomarker of renal functional development. Its excretion into the peritoneal cavity has not been reported. We here studied DKK3 in peritoneal dialysis.
View Article and Find Full Text PDFPerit Dial Int
July 2024
Department of Nephrology, Fatima Memorial Hospital and College of Medicine and Dentistry, Lahore, Pakistan.
The increasing burden of haemodialysis on healthcare systems merits efforts to make peritoneal dialysis (PD) more accessible to the population in need of kidney replacement therapy. Automated PD (APD) may be a suitable alternative to continuous ambulatory peritoneal dialysis for home dialysis especially for children, elderly and patients who lead a busy schedule in their jobs thus leaving more time for personal and family activities during the day. Recently, a local bioengineering company took the initiative to develop a locally manufactured, low-cost APD cycler in Pakistan, with an aim to improve the self-dependency and home-based kidney replacement therapy.
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