title: Practical peritoneal dialysis--the Tenckhoff catheter in acute renal failure.
abstract: The problem of acquiring secure peritoneal access encompasses most of the history of peritoneal dialysis. We review the catheters available for children and describe a simple method of insertion of Tenckhoff catheters for acute dialysis. Two series of Tenckhoff catheters inserted in this way are presented and compared with results obtained with trocar- and guidewire-inserted catheters. Tenckhoff catheters inserted as described allow significantly longer periods of dialysis (P < 0.02) with significantly fewer problem episodes (P < 0.001). We conclude that the use of the Tenckhoff catheter for acute dialysis, when inserted in the way described, confers significant advantages over other catheters and permits secure peritoneal access.
authors.affiliation: Royal Manchester Children's Hospital, Pendlebury, UK.
authors.forename: M A
authors.initials: MA
authors.lastname: Lewis
authors.forename: J A
authors.initials: JA
authors.lastname: Nycyk
mesh_terms: D058186:Acute Kidney Injury / Q000453:epidemiology / Q000628:therapy*; D000293:Adolescent; D002408:Catheters, Indwelling / Q000592:standards*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D010530:Peritoneal Dialysis / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D012189:Retrospective Studies; D013997:Time Factors