Enhanced peritoneal dialysis delivery with PD-PLUS.
We prospectively studied the effects of enhanced continuous ambulatory peritoneal dialysis (CAPD) on the normalized protein catabolic rate (NPCR) and Kprt/V of two patients with zero residual renal function and marginal or below minimal HCFA values on urea kinetic modeling (Kprt/V = 0.21). Predictable increases in NPCR (from 0.61 to 0.76 and from 0.73 to 0.81 gm/kg/day, respectively) were seen after two weeks of enhanced CAPD achieved by the addition of a fifth nighttime exchange by a portable, easily operable, automated device (PD-PLUS).
Henry Ford Hospital, Detroit, Michigan.
C
C
Cruz
F
F
Dumler
R
R
Schmidt
F
F
Gotch
D003404:Creatinine / Q000378:metabolism; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000378:metabolism / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000295:instrumentation* / Q000379:methods; D011446:Prospective Studies; D011506:Proteins / Q000378:metabolism; D014508:Urea / Q000378:metabolism
D011506:Proteins; D014508:Urea; D003404:Creatinine