RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187820549
T1 Chronic Ambulatory Peritoneal Dialysis Catheter Insertion
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187820549
RD 2024/09/09
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  20–30  mL/min.  Such  patients  will  have  discussed  the  suitability  of  peritoneal  dialysis  versus  hemodialysis  with  their  nephrologist.  In  general,  all  patients  who  can  physically  and  mentally  perform  the  daily  peritoneal  fluid  exchange  should  be  considered  for  peritoneal  dialysis.  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  technique  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  and  may  prevent  adequate  exchange  and  dialysis.