[Peritoneal dialysis for acute renal failure: Rediscovery of an old modality of renal replacement therapy].
Acute renal failure (ARF) in adults in the intensive care unit (ICU) often evolves in a context of multiple organ failure, which explains the high mortality rate and increase treatment needs. Among, two modalities of renal replacement therapy, peritoneal dialysis (PD) was the first modality used for the treatment of ARF in the 1950s. Today, while PD is generalized for chronic renal failure treatment, its use in the ICU is limited, particularly, due to the advent of new hemodialysis techniques and the development of continuous replacement therapy. Recently, a renewed interest in the use of PD in patients with ARF has manifested in several emerging countries (Brazil, Vietnam). A systematic review in 2013 showed a similar mortality in ARF patients having PD (58%) and those treated by hemodialysis or hemodiafiltration/hemofiltration (56.1%). In the International society of peritoneal dialysis (ISPD)'s guideline (2013), PD may be used in adult ARF as the other blood extracorporeal epuration technics (recommendation with grade 1B). PD is the preferred method in cardiorenal syndromes, in frailty patients with hemodynamic instability and those lacking vascular access; finally PD is also an option in elderly and patients with bleeding tendency. In industrial countries, high volume automated PD with a flexible catheter (usually Tenckhoff) is advocated.
Département d'urologie et de néphrologie, service de néphrologie, groupe hospitalier Pitié-Salpêtrière, 47/83, boulevard de l'Hôpital, 75013 Paris, France. Electronic address: belkacem.issad@psl.aphp.fr.
Belkacem
B
Issad
Service de néphrologie et de dialyse, hôpital privé Claude Galien, 20, route de Boussy, 91480 Quincy-sous-Sénart, France.
Guy
G
Rostoker
Département d'urologie et de néphrologie, service de néphrologie, groupe hospitalier Pitié-Salpêtrière, 47/83, boulevard de l'Hôpital, 75013 Paris, France.
Corinne
C
Bagnis
Département d'urologie et de néphrologie, service de néphrologie, groupe hospitalier Pitié-Salpêtrière, 47/83, boulevard de l'Hôpital, 75013 Paris, France.
Gilbert
G
Deray
D058186:Acute Kidney Injury / Q000401:mortality / Q000628:therapy*; D015314:Dialysis Solutions; D006801:Humans; D010530:Peritoneal Dialysis; D006435:Renal Dialysis
D015314:Dialysis Solutions
Acute renal failure; Adequation; Adéquation; Dialyse péritonéale; Dialysis dose; Dose de dialyse; Hemodiafiltration; Hemodialysis; Hémodiafiltration; Hémodialyse; Insuffisance rénale aiguë; Peritoneal dialysis