Tidal peritoneal dialysis to achieve comfort in chronic peritoneal dialysis patients
Juergensen, P.H.; Murphy, A.L.; Pherson, K.A.; Chorney, W.S.; Kliger, A.S.; Finkelstein, F.O.
Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis 15: 125-126
1999
ISSN/ISBN: 1197-8554 PMID: 10682086 Document Number: 504197
Patients with end-stage renal disease on chronic peritoneal dialysis (CPD) can usually tolerate continuous ambulatory peritoneal dialysis (CAPD) or continuous cycling peritoneal dialysis (CCPD) without abdominal discomfort or pain. In some patients, pain or discomfort occurs with complete drain of the peritoneal dialysis solution or upon initiation of dialysis filling when the peritoneal cavity is empty. We report on the use of tidal peritoneal dialysis (TPD) as a modality to alleviate this pain. Of 136 patients in our CPD unit, 18 (13%) were complaining of pain with complete drain or upon instillation of PD fluid. All were placed on TPD after other causes for abdominal pain were excluded. Six patients were placed on 25% TPD, and 12 patients on 50% TPD. The mean Kt/V of the patients on TPD was 2.46 +/- 0.68. With TPD, all patients had complete relief of abdominal discomfort. Patients who develop abdominal pain with complete drain or fill when the abdominal cavity is empty would benefit from TPD and be able to continue with CPD.