Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management

The Western Journal of Emergency Medicine
Chad GorbatkinSteven M Gorbatkin

Abstract

Peritoneal dialysis (PD) is a means of renal replacement therapy (RRT) that can be performed in remote settings with limited resources, including regions that lack electrical power. PD is a mainstay of end-stage renal disease (ESRD) therapy worldwide, and the ease of initiation and maintenance has enabled it to flourish in both resource-limited and resource-abundant settings. In natural disaster scenarios, military conflicts, and other austere areas, PD may be the only available life-saving measure for acute kidney injury (AKI) or ESRD. PD in austere environments is not without challenges, including catheter placement, availability of dialysate, and medical complications related to the procedure itself. However, when hemodialysis is unavailable, PD can be performed using generally available medical supplies including sterile tubing and intravenous fluids. Amidst the ever-increasing global burden of ESRD and AKI, the ability to perform PD is essential for many medical facilities.

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Citations

Jun 3, 2020·Disaster Medicine and Public Health Preparedness·Guillaume L HoareauIan J Stewart
Apr 17, 2020·Journal of Nephrology·Giorgina Barbara PiccoliUNKNOWN On the Behalf of Conservative treatment, Physical activity and Peritoneal dialysis project groups of the Italian Society of

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Methods Mentioned

BETA
lavage
sedation
dissection

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