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INSERTION OF THE ACUTE OR PERMANENT PD CATHETER |
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Highly trained surgeons place the PD catheter into the abdominal cavity of the patient. The acute PD catheter is used for patients who need PD treatment only for a short period. It is a stiff catheter. The permanent PD catheter is a soft pliable tube that is used for the lifetime of the patient. Both catheters provide access for the infusion and drainage of the special PD fluid or solution. Placement of the PD catheter is only a 30-minute procedure performed under local anesthesia in the strictly sterile environment of the operating room. As soon as the catheter is placed it can be used immediately to perform PD.
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CONTINUOUS AMBULATORY PD (CAPD) |
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This is a chronic type of PD therapy where patients are trained to perform the dialysis themselves in the comfort of their homes. It is a continuous type of treatment because there is always PD fluid inside the peritoneal cavity where dialysis is continuously occurring. It is ambulatory because while the PD fluid is inside the body, the patient is free to do his daily activities. The patient can go to work or just stay at home and do their usual activities. |
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INTERMITTENT PD (IPD) |
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This can be performed for both acute and chronic kidney failure. PD exchanges are performed every 30 minutes in order to quickly remove the poisons and excess fluid that have accumulated in the body because the kidneys were not performing adequately. It can be done by the PD nurses every 30 minutes or the patient can be hooked to a special PD machine called the cycler. The PD solutions are connected to the cycler, and a special tubing from the cycler is connected to the patient’s PD catheter. The machine is turned on and the cycler begins the dialysis therapy. IPD is usually performed from several hours to several days, depending on the needs of the patient. |
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CONTINUOUS CYCLER-ASSISTED PD (CCPD) |
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PD therapy can also use a combination of the cycler machines and manual PD exchanges. This is called CCPD. It is continuous because there is always PD solution inside the peritoneal cavity. The cycler is used to do several short exchanges during the night while the patient is asleep, and 1 to 2 manual exchanges are performed by the patient during the day. |
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Special PD trainors train the patient, their relatives or caregivers to perform this type of therapy. When the PD therapy is performed only at night and the patient does not have any PD solution inside the body during the daytime, it is called NOCTURNAL INTERMITTENT PD (NIPD). Your physician will decide which type of therapy you need.
All of these types of PD therapy are available at the NKTI. The Unit has a medical and nursing staff especially trained to perform PD and has a specific program for training patients in using PD. The Unit also has specialized PD technicians and clinical nursing assistants who assist in the performance of PD throughout all areas of the hospital. |
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