[Continuous ambulatory peritoneal dialysis (author's transl)].
Continuous ambulatory peritoneal dialysis (CAPD) required rapid technique and high quality material. This paper describes the material prepared and supplied by the Central Pharmacy of Paris Public Hospitals and the results obtained with this material in the Nephrology Department of the Pitié-Salpêtrière Hospital. The peritoneal catheter, introduced under local anaesthesia, is the double-cuffed Tenckhoff catheter. The two dialysates routinely used mainly differ in glucose concentration (83 and 250 mmol/l respectively). The plastic bags are made of polyvinylchloride; those for adults have a capacity of 2.8 l and contain 2 l of dialysate; smaller bags are available for children and adolescents. The patients are trained in an independent out-patient unit opened from 8 a.m. to 9 p.m. The average duration of training is 10 days, and audio-visual aids are widely used. Between August, 1978 and February, 1980 forty-seven patients were accepted for training. Their mean age at the start of treatment was 65 years, and the follow-up was 308 patient-months. During this period there were 5 deaths, only one of which could be blamed on the dialysis technique. There was one peritonitis per 7.5 patient-months, and the mean duration of hospital treatment for all complications was 15 days per patient-year. In view of the patients' age and of the deliberate selection of high-risk patients (including 8 diabetics), these results are very encouraging. However, a longer follow-up is needed to determine the exact place of CAPD among the various treatments of end stage renal failure.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D001786:Blood Glucose / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D003928:Diabetic Nephropathies / Q000628:therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D010353:Patient Education as Topic; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D010538:Peritonitis / Q000209:etiology; D014882:Water-Electrolyte Balance
D001786:Blood Glucose
La dialyse péritonéale continue ambulatoire.