腹膜透析在急性肾损伤中的应用新进展

Diagnosis and staging of AKI
Hoste EAJ.et.al. Nat Rev Nephrol. 2018 Oct
The spectrum of kidney disease
Hoste EAJ.et.al. Nat Rev Nephrol. 2018 Oct
Trends in the prevalence of patients on peritoneal dialysis in Asia
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Access and fluid delivery for acute PD in adults
Catheter insertion by nephrologists or surgeon: equal safe and functional results (1B).
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Method of Insertion:
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Access and fluid delivery for acute PD in adults
Prior to insertion of Tenckhoff Catheter: use of prophylactic antibiotics (1C).
Global variation in the incidence of of AKI
Hoste EAJ.et.al. Nat Rev Nephrol. 2018 Oct
Epidemiology and outcomes of AKI
Hoste EAJ.et.al. Nat Rev Nephrol. 2018 Oct
Cullis B.et.al. Perit Dial Int. 2014 Jul-Aug;
Comparison of peritoneal dialysis versus haemodialysis
Liu L.et.al. Cochrane Database of Systematic Reviews 2017;
Resources and expertise exist: Flexible peritoneal catheters (1C) (Optimal).
Resource-poor : rigid stylet catheters or improvised catheters (2D) (Minimum standard).
Peritoneal dialysis in acute kidney injury patients
Presenter: XXX
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Contents:
1. Acute Kidney Injury (AKI) 2. Peritoneal Dialysis (PD) 3. Application of PD in AKI
Peritoneal dialysis for AKI—time may be of the essence
Warady, B. A. Nat. Rev. Nephrol. 8, 498–500 (2012);
Access and fluid delivery for acute PD in adults
Nephrologists receive training :to ensure timely dialysis in the emergency setting (1B).
Insertion of the Tenckhoff catheter :takeing place in the most sterile environment available (1D).
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Factors influencing the selction of patients on peritoneal dialysis
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Suitability of peritoneal dialysis for AKI in adults
Cullis B.et.al. Perit Dial Int. 2014 Jul-Aug;
Cathete源自文库 Type
Li PK.er.al. Nat Rev Nephrol. 2017 Feb;
Access and fluid delivery for acute PD in adults
Catheters be tunneled in ：reducing peritonitis and peri-catheter leaks (1D).
Peritoneal dialysis should be considered as a suitable method of continuous renal replacement therapy in patients with acute kidney injury (1B).
Difficult vascular access or at risk of bleeding At risk of increased intracranial pressure Sepsis No other dialysis options
No method of insertion of PD catheter is superior to any other overall. Based on patient factors and local availability of skills, equipment, and consumables : slecting method of implantation (1D).