title: Acute central hemodynamic effects of peritoneal dialysis.
abstract: BACKGROUND
  The supposed lack of a hemodynamic impact of peritoneal dialysis (PD) has been challenged recently in different studies, although the observed effects are still far below those seen on hemodialysis (HD), and the underlying mechanisms are unclear.
  
  
  METHODS
  Literature overview based on Pubmed search with key words 'peritoneal dialysis, acute dwell, hemodialysis'.
  
  
  CONCLUSIONS
  Hemodynamic effects of an acute PD dwell seem to be consistent, but rather limited. Increasing peritoneal pressure, causing enhanced preload and thus better cardiac output, and vasoactive reactions induced by incompatibility of the dialysis fluid seem to be the most prominent causes. The role of hyperglycemia is a matter of debate. In view of the repetitive character of the insults, especially during APD, more in depth investigation of this phenomenon is warranted.
authors.forename: W
authors.initials: W
authors.lastname: Van Biesen
authors.forename: A
authors.initials: A
authors.lastname: Pletinck
authors.forename: F
authors.initials: F
authors.lastname: Verbeke
authors.forename: R
authors.initials: R
authors.lastname: Vanholder
mesh_terms: D001794:Blood Pressure / Q000502:physiology; D002302:Cardiac Output / Q000502:physiology; D002908:Chronic Disease; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D006943:Hyperglycemia / Q000503:physiopathology; D007674:Kidney Diseases / Q000628:therapy; D010530:Peritoneal Dialysis; D014655:Vascular Resistance / Q000502:physiology