title: Peritoneal dialysis in acute kidney injury: lessons learned and applied.
abstract: Peritoneal dialysis (PD) is a simple, safe, gentle, and efficient renal replacement therapy (RRT) method. It is able to correct acute kidney injury (AKI)-induced metabolic, electrolytic, and acid-base disorders and volume overload both in and out the intensive care unit setting. Some PD modalities, such as high-volume PD and continuous flow PD, can provide RRT doses and efficiency comparable to extracorporeal blood purification methods. PD is particularly suitable for children, patients with refractory heart failure or hemodynamically instable, conditions where systemic anticoagulation should be avoided, patients with difficulty for vascular access and hypo- and hyperthermia conditions. In the following manuscript, PD technical aspects and the possible advantages and limitations of this RRT method will be discussed, and the more recent literature on clinical experience with PD for treatment of AKI will be reviewed.
authors.affiliation: Division of Nephrology, University of Sao Paulo Medical School, Sao Paulo, Brazil. burdmann@usp.br
authors.forename: Emmanuel A
authors.initials: EA
authors.lastname: Burdmann
authors.forename: Rajasekara
authors.initials: R
authors.lastname: Chakravarthi
mesh_terms: D058186:Acute Kidney Injury / Q000628:therapy*; D015314:Dialysis Solutions / Q000737:chemistry; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods; D006435:Renal Dialysis; D016896:Treatment Outcome
chemical_list: D015314:Dialysis Solutions