Peritoneal dialysis, like hemodialysis, replaces lost kidney function to remove waste products and extra fluid from the blood. With peritoneal dialysis, the network of tiny blood vessels in your abdomen (peritoneal cavity) is used to filter your blood.
Peritoneal dialysis uses an access device, called a catheter that is placed through the skin and into your abdomen. The catheter allows fluid to enter and leave the peritoneal cavity. Waste and extra fluid move from your blood into the special fluid, which is then drained from the body. Each time the fluid containing wastes is replaced with fresh fluid it is called an exchange.
The Rogosin Institute’s Kidney Center has one of the largest peritoneal dialysis programs in the New York Metropolitan area. The Rogosin Kidney Center was one of the first centers in the country to offer peritoneal dialysis and we continue to have one of the most active peritoneal dialysis programs. Rogosin maintains extremely high standards of care, as reflected by one of the lowest incidence of peritoneal dialysis infectious episodes in the country.
There Are Two Types of Peritoneal Dialysis
CAPD (continuous ambulatory peritoneal dialysis)
- CCPD (continuous cycler peritoneal dialysis)
CAPD provides dialysis continuously while the patient is performing his/her usual daily activities. The catheter is connected to a bag of special fluid and raised above shoulder level to allow the fluid to flow into the peritoneal cavity. After four to six hours, the old fluid is removed by attaching a drainage bag to the catheter and lowering the bag to the floor. Fresh fluid is put back into the peritoneal cavity and the cycle continues. It is usually done four times a day and each exchange takes about 30 minutes. It can be done almost anywhere, as long as a clear area is available.
In CCPD, a machine called a cycler automatically performs the exchanges. The catheter is attached to the cycler every night. The exchanges (dialysis) are done over an 8-12 hour period while the patient sleeps. During the day, patients usually make no connections but carry some fluid in the abdomen.
Peritoneal Dialysis (PD) vs. Conventional Hemodialysis
Peritoneal dialysis has numerous advantages. It is less stressful on the body than hemodialysis because it is more like the body’s own natural kidney cleansing process.
PD also permits:
- greater independence and more control by the patients
- greater flexibility in everyday activities; ability to perform PD while at home, at work, visiting, traveling or on vacation
- greater flexibility in diet and fluid intake
- dialysis without needles, for babies and children as well as adults
Who Can Perform Peritoneal Dialysis?
Almost any patient who needs chronic dialysis and is willing to learn the procedure and play a responsible role in his/her total care, can perform peritoneal dialysis. Most people, including visually impaired individuals and the elderly, can learn to perform this safe and effective dialysis at home.
What Is The Training For Peritoneal Dialysis?
The Rogosin Kidney Center provides specially trained nurses and a dedicated training area specifically for this program. The nurses offer all the necessary information and teach the skills and techniques required for the patient to be able to perform dialysis safely and effectively.
Patients receive individual nurse/patient training sessions as long as it is necessary for the individual to feel confident when performing the dialysis.
How Is The Patient’s Treatment Monitored?
Rogosin’s peritoneal dialysis patients have access to a Rogosin physician and registered nurse at all times. PD patients come to the PD center on a monthly basis (instead of 3 times per week like hemodialysis patients) for blood tests and an appointment with their nephrologist to ensure that they are receiving adequate dialysis and performing the procedure appropriately. Patients are encouraged to make appointments with a nephrologist every month.
The physician may make modifications to the program or add more exchanges if they are indicated by periodic testing.
Rogosin Kidney Center is a major contributor to #3 ranking of NYPH in kidney disease.
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