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Efficacy of APD in perioperative period of non-abdominal operation for peritoneal dialysis patients

Authors Zhang Y, Feng S, Lu Y, Zhan Z, Shen H

Received 28 January 2019

Accepted for publication 11 April 2019

Published 24 May 2019 Volume 2019:12 Pages 207—212

DOI https://doi.org/10.2147/IJGM.S203158

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


Yi Zhang,* Sheng Feng,* Ying Lu, Zhoubing Zhan, Huaying Shen

Department of Nephrology, The Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, People’s Republic of China

*These authors contributed equally to this work

Objectives:
Whether automated peritoneal dialysis (APD) is a feasible strategy in perioperative period of uremic patients undergoing nonabdominal surgery remains unclear. This study was conducted to research the perioperative management and the best choice of dialysis modalities for peritoneal dialysis patients.
Materials and methods: A retrospective analysis was made on the clinical data of 58 ESRD patients who had received peritoneal dialysis for more than three months were treated with APD during perioperative period from July 2015 to March 2018 in the Second Affiliated Hospital of Soochow University. The differences of clinical parameters, such as urine volume, ultrafiltration volume, hemoglobin, renal function and electrolytes were collected and analyzed before and after APD.
Results: The vital signs of 58 patients were stable after APD treatment, and there were no significant differences in 24-hour urine volume, hemoglobin and electrolytes (calcium, phosphorus, potassium, sodium) before and after surgery (P>0.05). Compared with those before treatment, the amount of ultrafiltration increased significantly (P<0.05), creatinine, urea nitrogen and parathyroid hormone decreased significantly (P<0.05), while albumin decreased (P<0.05).
Conclusion: Application of APD for peritoneal dialysis patients undergoing nonabdominal surgery during the perioperative period is safe and effective.

Keywords: automated peritoneal dialysis, peritoneal dialysis, nonabdominal surgery, perioperative period

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