What is Pericatheter leak in PD?
What is Pericatheter leak in PD?
Early leakage most often manifests as a pericatheter leak. Late leaks may present more subtly with subcutaneous swelling and edema, weight gain, peripheral or genital edema, and apparent ultrafiltration failure.
Can peritoneal fluid leak?
Dialysate leakage represents a major noninfectious complication of PD and includes any dialysate loss from the peritoneal cavity other than via the lumen of the catheter. Exit-site leakage refers to the appearance of any wetness around the PD catheter identified as dialysate.
What is the most common complication in peritoneal dialysis?
The most frequent and important complication of peritoneal dialysis (PD) catheters is infection, which may result in catheter loss and discontinuation of PD [1,2]. However, some evidence suggests that the transfer to hemodialysis for these reasons may be decreasing.
What can go wrong with peritoneal dialysis?
One of the most serious problems related to peritoneal dialysis is infection. You can get an infection of the skin around your catheter exit site or you can develop peritonitis, an infection in the fluid in your belly. Bacteria can enter your body through your catheter as you connect or disconnect it from the bags.
What is Pleuroperitoneal leak?
Pleuroperitoneal leak is an uncommon complication of continuous ambulatory peritoneal dialysis (CAPD), with an estimated incidence of 1.6%. It should be suspected in these patients when they present with recurrent unilateral pleural effusions and/or acute shortness of breath following dialysate infusion.
Can peritonitis cause pleural effusion?
A pleuroperitoneal leak or communication is a rare but important cause of pleural effusion in patients on peritoneal dialysis.
What is dwell in peritoneal dialysis?
The time the solution remains in the abdomen between exchanges is called the dwell time. During this dwell time, some of the dextrose in the solution crosses the membrane and is absorbed by the body. Many factors affect how much waste and extra fluid are removed from the blood.
What happens if too much fluid is removed during dialysis?
There is a limit, however, on how much fluid can be safely removed during a dialysis treatment. Removing excessive fluid gain can make treatment uncomfortable. Patients can experience a sudden drop in blood pressure, which usually occurs toward the end of a dialysis treatment.
Can you skip a day of peritoneal dialysis?
Compliance. A drawback with PD is that some patients sometimes don’t perform all of their prescribed exchanges. They either skip exchanges or sometimes skip entire treatment days when using APD. This may be OK occasionally, but is not recommended on a regular basis.
Can a diaphragm leak?
There are a number of reasons a leak could occur, including leakage around the major vessels and/or esophagus, diaphragmatic foramina, the diaphragmatic lymphatics, and the thoracic duct [7, 8].