Urgent Peritoneal Dialysis in Patients With COVID-19 and Acute Kidney Injury: A Single-Center Experience in a Time of Crisis in the United States.

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Maryanne Y SourialLadan Golestaneh

Abstract

At Montefiore Medical Center in The Bronx, NY, the first case of coronavirus disease 2019 (COVID-19) was admitted on March 11, 2020. At the height of the pandemic, there were 855 patients with COVID-19 admitted on April 13, 2020. Due to high demand for dialysis and shortages of staff and supplies, we started an urgent peritoneal dialysis (PD) program. From April 1 to April 22, a total of 30 patients were started on PD. Of those 30 patients, 14 died during their hospitalization, 8 were discharged, and 8 were still hospitalized as of May 14, 2020. Although the PD program was successful in its ability to provide much-needed kidney replacement therapy when hemodialysis was not available, challenges to delivering adequate PD dosage included difficulties providing nurse training and availability of supplies. Providing adequate clearance and ultrafiltration for patients in intensive care units was especially difficult due to the high prevalence of a hypercatabolic state, volume overload, and prone positioning. PD was more easily performed in non-critically ill patients outside the intensive care unit. Despite these challenges, we demonstrate that urgent PD is a feasible alternative to hemodialysis in situations with critical resource ...Continue Reading

Citations

Nov 12, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Chang Yin ChionhClaudio Ronco
Dec 1, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Watanyu ParapiboonTreechada Chamradpan
Oct 11, 2020·Kidney International·Dominique E MartinVivekanand Jha
Jan 28, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jeff Perl
Dec 19, 2020·Journal of Clinical Medicine·Alessandra StasiGiuseppe Stefano Netti
Dec 29, 2020·Der Nephrologe·Jan-Hendrik B HardenbergKai M Schmidt-Ott
Oct 29, 2020·BMC Nephrology·Sam KantBernard G Jaar
Feb 28, 2021·Journal of the American Society of Nephrology : JASN·Paul M Palevsky
Mar 5, 2021·Journal of the American Society of Nephrology : JASN·Kurtis A PivertStephen M Sozio
Mar 7, 2021·Journal of Clinical Medicine·Luis Sanchez-RussoPaolo Cravedi
Apr 6, 2021·Frontiers in Medicine·Yaron TomerEric J Epstein
Jul 3, 2021·International Journal of Molecular Sciences·Iwona Smarz-WidelskaWojciech Załuska
May 26, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Akhil VaidUNKNOWN MSCIC
Aug 12, 2021·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Rasha Samir ShemiesHussein Sheashaa
Nov 4, 2021·The New England Journal of Medicine·Isaac Teitelbaum

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