title: Patients initiating peritoneal dialysis started on two icodextrin exchanges daily.
abstract: Patients with end-stage renal disease treated with peritoneal dialysis (PD) are often put on standard one size fits all" regimens, despite having varying degrees of residual renal function (RRF). The present study reports our experience with initiation of PD using 2 icodextrin exchanges daily in patients with RRF corresponding to a weekly Kt/Vurea of at least 1.0. Peritoneal and RRF Kt/Vurea were tracked closely, and total Kt/Vurea was maintained between 1.7 and 2.0. One patient developed a rash and was changed to 3 dextrose exchanges daily. All patients were satisfied with their treatment regimen, and no other adverse events or symptoms were reported.
authors.affiliation: Yale New Haven Hospital, New Haven, Connecticut, USA.
authors.forename: Kwabena T
authors.initials: KT
authors.lastname: Awuah
authors.affiliation: Renal Research Institute, New Haven, Connecticut, USA.
authors.forename: Nancy
authors.initials: N
authors.lastname: Gorban-Brennan
authors.affiliation: Yale New Haven Hospital, New Haven, Connecticut, USA.
authors.forename: Hima Bindu
authors.initials: HB
authors.lastname: Yalamanchili
authors.affiliation: Yale New Haven Hospital, New Haven, Connecticut, USA.
authors.forename: Fredric O
authors.initials: FO
authors.lastname: Finkelstein
mesh_terms: D000368:Aged; D005260:Female; D005936:Glucans / Q000008:administration & dosage*; D005947:Glucose / Q000008:administration & dosage*; D015312:Hemodialysis Solutions / Q000008:administration & dosage*; D006801:Humans; D000077607:Icodextrin; D007668:Kidney / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods*
chemical_list: D005936:Glucans; D015312:Hemodialysis Solutions; D000077607:Icodextrin; D005947:Glucose