RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127271724
T1 CHRONIC AMBULATORY PERITONEAL DIALYSIS CATHETER INSERTION
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127271724
RD 2024/04/24
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.