Outcome of Continuous Peritoneal Dialysis in Patient with Acute Kidney Injury
Though peritoneal dialysis has several
limitations, it is still used in acute kidney injury (AKI)
patients as an alternative method of Renal Replacement
Therapy (RRT), especially in low socioeconomic
Materials and Method:
This study included thirty patients diagnosed as AKI.
Peritoneal accesswas established through flexible Tenckhoff catheter for
Continuous Peritoneal Dialysis (CPD) and 6-8 exchanges
were done in 24 hours.
Results: Among 30 patients mean
age was (mean±SD) 49.93±14.42 years. Seven (23.33%)
patients were hemodynamically unstable. The cause of
AKI was drug induced in 6(20.7%), hypovolemia/Acute
Tubular Necrosis in 6(20.0%), sepsis in 5(16.7%), heart
failure in 2(6.7%) and 11(36.7%) had multiple causes.
In initial presentation, mean serum creatinine was
683.42 μmol/L, and the number of sessions required for
stabilization of serum creatinine was 7.5±1.43, sessions
required for correction of hyperkalemia and metabolic
acidosis were 2.15±0.69 and 2.5±0.76 respectively. The
delivered Kt/V urea was 1.95±0.14 weekly. Six (20.0%)
patients had peritonitis, five (16.7%) had pericatheter
leakage and four (13.33%) had catheter blockage. Among
30 patients, three patients (10%) had died, sixteen (59.3%)
had recovery of renal function and rest did not recover
Conclusion: CPD was effective for
correction of metabolic and electrolyte imbalance.