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Urgent peritoneal dialysis or hemodialysis catheter dialysis

Urgent peritoneal dialysis or hemodialysis catheter dialysis

J Vasc Access 2016; 17(Suppl. 1): 56 - 59

Article Type: ORIGINAL ARTICLE

DOI:10.5301/jva.5000535

Authors

Charmaine E. Lok

Abstract

Worldwide, there is a steady incident rate of patients with end-stage kidney disease (ESKD) who require renal replacement therapy. Of these patients, approximately one-third have an “unplanned” or “urgent” start to dialysis. This can be a very challenging situation where patients have either not had adequate time for education and decision making regarding dialysis modality and appropriate dialysis access, or a decision was made and plans were altered due to unforeseen circumstances. Despite such unplanned starts, clinicians must still consider the patient’s ESKD “life-plan”, which includes the best initial dialysis modality and access to suit the patient’s individual goals and their medical, social, logistic, and facility circumstances. This paper will discuss the considerations of peritoneal dialysis and a peritoneal dialysis catheter access and hemodialysis and central venous catheter access in patients who require an urgent start to dialysis.

Article History

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

  • Lok, Charmaine E. [PubMed] [Google Scholar] , * Corresponding Author (charmaine.lok@uhn.ca)

Affiliations

  • Division of Nephrology, Department of Medicine, University Health Network-Toronto General Hospital, Toronto, Ontario - Canada

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