TY - CHAP M1 - Book, Section TI - CHRONIC AMBULATORY PERITONEAL DIALYSIS CATHETER INSERTION A1 - Ellison, E. Christopher A1 - Zollinger, Robert M. Y1 - 2016 N1 - T2 - Zollinger's Atlas of Surgical Operations, 10e AB - Placement of a chronic ambulatory peritoneal dialysis (CAPD) catheter is usually indicated largely for patients with chronic kidney disease (CKD) stages 4 or 5 or with a reduced glomerular filtration rate of less than 20 to 30 cc/min. Such patients will have discussed the suitability of peritoneal dialysis versus hemodialysis with their nephrologist. In general, peritoneal dialysis is preferred over hemodialysis for patients with poor cardiac function, prosthetic heart valves, significant vascular disease, hemodialysis vascular access failure, difficult access to a hemodialysis center, and young age OR small body habitus that makes vascular access for hemodialysis challenging. Candidates for CAPD insertion should be deemed capable of maintaining appropriate sterile techniques when using the catheter to avoid developing bacterial peritonitis due to contamination of the catheter. Intra-abdominal adhesions resulting from previous abdominal surgeries or peritonitis can complicate successful CAPD insertion. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1127271724 ER -