Fischbach M, Terzic J, Schneider P, Dangelser C, Roger ML,
Geisert J
Improved dialysis dose by optimizing intraperitoneal volume
prescription thanks to intraperitoneal pressure
measurements in children
17th Annual CAPD Conference
Perit Dial Int Suppl 1
(Feb) 17:S84 1997
Increasing exchange volume will increase PD adequacy, and in children, the
maximum tolerated volume varies widely. A rational way of assessing maximum
tolerated volume is to go by IP pressure (Pip) measurements. In this study,
five children undergoing CCPD with a mean exchange volume (Vip) of 940 ml/m2
and a Pip of 10 cm water had the volume increased until Pip increased by 25%.
This was tolerated in all patients. Final Vip averaged 1230 ml/m2. This
resulted in an increase in daily Kt/V urea from 0.23 to 0.29, and in weekly K
creat/1.73 m2 from 60 to 76 liters. The new Rx was continued for 4 weeks.
Comment: The approach seems to be a very rational one for maximizing
clearance in CCPD in children. (John T. Daugirdas, M.D., U. of Illinois at
Chicago)
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17th Annual CAPD Conference
CRF by problem area :
CRF in infants and children
Basic peritoneal dialysis :
Chronic PD regimens, adequacy, modeling