What Is the Role of Automated Peritoneal Dialysis and Continuous Flow Peritoneal Dialysis?

2003 ◽  
pp. 264-271 ◽  
Author(s):  
J.A. Diaz-Buxo
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Flow ◽  
Automated Peritoneal Dialysis

scholarly journals Feedback on the benefits of remote patient control in Automated Peritoneal Dialysis in a French peritoneal dialysis center.

2021 ◽  
Vol 4 (1) ◽  
pp. 31-43
Author(s):  
Rachel Jager ◽  
Agnes ROBLES ◽  
Philippe LAN YUE WAH
Keyword(s):  
Peritoneal Dialysis ◽  
Automated Peritoneal Dialysis ◽  
Health Crisis ◽  
Home Dialysis ◽  
Phone Calls ◽  
Remote Patient ◽  
System Errors ◽  
Program Validation ◽  
Connection Problems

The COVID-19 pandemic has highlighted the growing role of telemedicine in home dialysis treatments. Since the appearance of a connected automated peritoneal dialysis (APD) machine (Claria Sharesource Baxter® machine), we have systematically offered this solution to our patients treated with APD. Over the past two years, we have treated 35 patients with connected APD, of which 20 are still under the technique (aged 50 to 87) and represent 54% of the patients on peritoneal dialysis. A questionnaire on five subjects (perception of switching to the connected machine, stress, safety, everyday life, and vacations) was also given to them and showed that 80% of the patients had no stress related to the telemonitoring, while 18 out of 20 patients (90%) felt safe. In 2020, we received 74 phone calls during on-call phone duty, including 42 calls for the 20 patients on connected APD, one all for a patient on normal APD, and 32 calls for 16 patients on continuous ambulatory peritoneal dialysis (CAPD). Handling errors concerned 42.85% of the calls, system errors concerned 4.76%, program validation concerned 7.14%, and connection problems concerned 9.52%. We were thus able to correct several problems remotely, such as drainage problems, weight gain, blood pressure imbalance, poor compliance, and connection problems. Thanks to the platform, we are notified daily of a possible problem. This saves the nurses time and allows them to deal with other issues. The way we educate patients and assist private nurses has not changed. Indeed, only the connection to the network as well as the entry of the weight and arterial pressure were added, and the disposables remained the same. Night or day, or in times of a health crisis, we can provide a rapid and targeted response to the patients’ questions, thanks to the platform.

scholarly journals The Occurrence of Increased Intraperitoneal Volume Events in Automated Peritoneal Dialysis in the US: Role of Programming, Patient/User Actions and Ultrafiltration

2014 ◽  
Vol 34 (4) ◽  
pp. 434-442 ◽  
Author(s):  
Borut Čižman ◽  
Steve Lindo ◽  
Brian Bilionis ◽  
Ira Davis ◽  
Aaron Brown ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Automated Peritoneal Dialysis ◽  
Level Ii ◽  
Clinical Presentations ◽  
Fill Volume ◽  
The Us ◽  
Ultra Filtration ◽  
Level I ◽  
User Actions

Background, objectives and methods Increased intraperitoneal volume (IIPV) can occur during automated peritoneal dialysis (APD). The contribution of factors such as cycler programming and patient/user actions to IIPV has not been previously explored. The relationship between IIPV and cycler programming, patient/user actions, and ultra-filtration over a two-year period was investigated using US data from Baxter cyclers. Drain/fill volume ratios of > 1.6 to ≤ 2.0 and > 2.0 were defined as Level I and Level II IIPV events, respectively. Results Level I IIPV events occurred in 2.39% of standard and 4.73% of small fill volume therapies, while Level II IIPV events occurred in 0.26% and 1.33% of therapies, respectively. IIPV events occurred significantly more often in association with tidal peritoneal dialysis (PD) compared to non-tidal PD therapies. In tidal therapies, IIPV events were primarily related to suboptimal programming of total ultrafiltration volume. Factors that increased the odds of IIPV events during standard therapies included programming the initial drain volume target to < 70% of the last fill, and setting minimum drain volumes to < 85% of the fill volume. Bypass of initial drain by patients/users was also associated with a significant increase in the odds of IIPV events in non-tidal, but not tidal PD. An increase in the odds for IIPV was also seen for standard therapies within the highest (> 1,245 mL) versus the lowest (< 427 mL) quartile of ultrafiltration. Similar trends were seen in small fill volume therapies. Clinical presentations associated with IIPV events were not assessed. Conclusions IIPV events are more frequent in tidal and small fill volume therapies. The greatest potential for IIPV occurred when the total ultrafiltration was set too low for the patient's UF requirements during tidal therapy. Patient/user bypass of drains without reaching the target drain volume contributes significantly to IIPV events in non-tidal PD therapies. Poorly functioning PD catheters may be central to the cycler programming and patient/user actions that lead to IIPV.

Advances in the Technology of Automated, Tidal, and Continuous Flow Peritoneal Dialysis

2007 ◽  
Vol 27 (2_suppl) ◽  
pp. 130-137 ◽  
Author(s):  
Roberto Dell'Aquila ◽  
Maria Pia Rodighiero ◽  
Emilia Spano’ ◽  
Loreto Pierluigi Di ◽  
Catalina Ocampo Kohn ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Continuous Flow ◽  
Automated Peritoneal Dialysis ◽  
Indwelling Catheters ◽  
Substantial Growth ◽  
New Generation ◽  
Higher Doses ◽  
Recirculation Loop ◽  
Regeneration Systems

Automated peritoneal dialysis (APD) has undergone substantial growth in recent years because of an increased demand for higher doses of peritoneal dialysis (PD) treatment and a need to improve quality of life for patients. The evolution of this treatment is closely linked with the development of new automatic machines and with recent advances in prescription and monitoring of PD treatment. In the present article, we describe the characteristics of the new generation of APD cyclers with particular regard to adequacy targets and safety. There is renewed interest in continuous-flow peritoneal dialysis (CFPD), because of a belief that new peritoneal access technologies will make the success of this modality a possibility. In the CFPD technique, a certain amount of fluid is constantly present in the abdomen, and constant inflow and outflow are maintained without interruption thanks to paired indwelling catheters. The PD solution is used either in a single pass or in a recirculation loop with a regeneration systems (sorbent cartridge or dialyzer).

Automated Peritoneal Dialysis Symposium: The Role of APD in the Improvement of Outcomes in an ESRD Program

2002 ◽  
Vol 15 (6) ◽  
pp. 422-426 ◽  
Author(s):  
Wim Van Biesen ◽  
Nic Veys ◽  
Raymond Vanholder ◽  
Norbert Lameire
Keyword(s):  
Peritoneal Dialysis ◽  
Automated Peritoneal Dialysis

The Role of Automated Peritoneal Dialysis in Peritoneal Dialysis Programme: One Centre Experience

1999 ◽  
Vol 22 (11) ◽  
pp. 734-738 ◽  
Author(s):  
T. Liberek ◽  
M. Renke ◽  
M. Lichodziejewska-Niemierko ◽  
B. Rutkowski
Keyword(s):  
Peritoneal Dialysis ◽  
Automated Peritoneal Dialysis
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