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Other Treatments for End-stage Renal Disease (ESRD)
To Help Manage Kidney Failure—Dialysis
- Removing waste and excess fluid from the blood to prevent build-up
- Controlling blood pressure
- Keeping a safe level of chemicals in the body, such as potassium, sodium, and chloride
- Infections, usually bacterial
- Low blood pressure
- Abnormal heart rhythms
- Bleeding (brain, eyes, abdomen, intestine)
- Air embolus
- Anaphylaxis or severe allergic reaction
- Hernias in the abdomen or groin
- High blood sugar levels
- Low level of blood albumin
- Infection, usually bacterial
- Bleeding in the abdomen
- Leakage of fluid from the abdomen
- Weight gain
- Continuous ambulatory peritoneal dialysis (CAPD) —This is the most common type of peritoneal dialysis. A bag of dialysate is infused into the abdomen through a catheter, remains there for 3-6 hours, and is then drained. You then refill your abdomen with fresh solution through the catheter. This way your blood is always being cleaned. No machine is required, and the empty plastic bag may be hidden under clothing.
- Continuous cyclical peritoneal dialysis (CCPD) —Fluid exchanges in this procedure are done by machine, usually at night while you are sleeping.
- Intermittent peritoneal dialysis (IPD) —This method uses the same type of machine as CCPD, but requires assistance and is usually done at a hospital or center. It often takes longer than CCPD.
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Goldman L, Ausiello D., eds. Cecil Textbook of Internal Medicine. 23rd ed. Philadelphia, PA: Saunders, 2008.
National Institute of Diabetes & Digestive & Kidney Diseases website. Available at: http://www2.niddk.nih.gov/.
National Kidney Foundation website. Available at: http://www.kidney.org/.
Rabindranath KS, Strippoli GF, et al. Haemodiafitration, haemofiltration, and haemodialysis for end-stage kidney disease. Cochrane Database Syst Rev. 2006 Oct 18; (4)CD006258.
Rakel, R. Textbook of Family Medicine 2007. 7th ed. Philadelphia, PA: Saunders Elsevier, 2009.
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- Reviewer: Adrienne Carmack, MD
- Review Date: 05/2014
- Update Date: 05/28/2014