Title: A Study on Haemodialysis Vsperitoneal Dialysis in Acute & Chronic Renal Failure
Authors: Christopher Nesamony, Suresh Kumar, Manivel Ganesan
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.157
Abstract
Background: Over the past few decades, Dialysis has become more effective in the management of acute & chronic renal failure and poisonings (Acute kidney injury). There are a number of studies which recommend either peritoneal or hemodialysis depending upon the clinical situations, facilities available and other factors. In clinical usage, the waste materials in the blood are filtered through the Semi permeable membranes and thus separated from the body. Semi permeable membrane could be natural as peritoneum or artificial as in the artificial kidney (dialyser). Thus, there are two modes of Dialysis namely Peritoneal and hemodialysis.
Materials and Methods: All the patients who have undergone Hamodialysis and peritoneal dialysis in Kanyakumari Government Medical College, General Medicine Department during the period from Jan 2015 to Jan 2017 were included in this study. All the patients were analyzed clinically and biochemically before taking for dialysis. Each dialysis sessions were watched carefully for complications. The aim of study is to find out the value of Dialysis in various medical disorders namely acute renal failure, chronic renal failure and poisoning& to find out the incidence and types of complications in peritoneal and hemodialysis & to compare the advantages and disadvantages of peritoneal dialysis and hemodialysis in various age groups and various disorders.
Observation and Results: In this study, a total of 742 patients who have undergone 1035 sessions of peritoneal dialysis and 839 sessions of hemodialysis were studied.601 peritoneal dialysis (males -394 & females -207) patients and 205 hemodialysis (males -133 & females -72) patients were analyzed. In this, 537 patients had undergone only peritoneal dialysis, 141 patients hemodialysis alone and 64 patients both hemodialysis and peritoneal dialysis. Complications of 12.51% & 19.7% occurred in patients who had undergone hemodialysis and peritoneal dialysis, respectively.
Conclusion: Dialysis was valuable in prolonging the life of CRF patients (44.69% of HD and 41.68% of PD patients.) Mortality during hospital stay was 7.06%. 10 patients went to transplantation. Dialysis was valuable in the management of dialysable poisons (1.05% of HD and 3.4% of PD in Patients). In HD, No death was recorded. In PD, death was 14.28%.
Keywords: Acute & chronic renal failure, Poisonings (Acute kidney injury), Dialysis.
References
1. It Col. Yashpal. Peritoneal Dialysis. Progress in Clinical medicine by M.M.S. Ahuja. 5th series Page 352 – 366.
2. S.T. BOEN – The evaluation of peritoneal dialysis – Peritoneal dialysis by Robert.C.Atkins, Napier. M. Thomson, Peter.C.Farrel. Chap.1. P.3 – 9.
3. Christiana. M. Comty and Allan.J. CollinsDialytic therapy in the management of Chronic renal failure – Renal disease – The medical clinics of North America. Vol. 68. No.2 P.P. 399 – 425
4. Charles. B. Carpenter. J. Michael Lazarus Dialysis and Transplantation in the treatment of renal failure. Harrison’s principles of internal medicine Vol.II. Page 1157 – 1166 (12th edition).
5. Suhal Ahamed, Christopher. R.Blagg, Belding. H. Sailer – Center and home hemodialysis – diseases of the kidney Vol III. By Robert. W. Shrier Page 3281 – 3322.
6. John. C. Vanstone M.D. – Hemodialysis – current Nephrology.Vol II Chap.10. P.361 – 391.
7. James.F.Winchester – Chronic renal failure – Conn’s current therapy – Rackel 1986 – P.562 – 563.
8. Robert. A. Gutman – Acute renal failure. Indications for Dialysis – Conn’s current Therapy Rackal P.558.
9. Robers. S. Brown – Dialysis – Year book of medicine Chap.50 P. 675 – 681.
10. Karl. P. Nolph Vol. II.Current Nephrology Chap. 9. P.317 – 354.
11. Edward. A. Ross, Allen. R. Nessenson Vol. III. Nephrology – current medicine. Chap.4. P.90 – 94.
12. Steward. Cameron – “Dialysis” – “The artificial Kidney” – Kidney disease the facts. P.182 – 193.
13. R.gabriel – Management of acute renal failure chap.113. Text book of Gastro – uUrinary surgery by H.N. Whitfield and W.F. Hendry. Vol. II.
14. Bruce. A. Molitoris, Robert. W. Schrier – Etiology, Ppathogenesis and management of renal failure – chap.59. Vol.III. Campbell’s Urology.
15. Joh. L. Cameron – Acute pancreatitis – peritoneal dialysis as therapy – cConn’s current therapy – Rackel – P.415.
16. Charles. M. Mion – continuous Ambulatory peritoneal Dialysis and continuous cyclic peritoneal dialysis – Diseases of the Kidney edited by Roberts. W. Schrier. Vol.III. P.3235 – 3279.
17. John Blandy – Renal failure – Chap.13. Lecture note son Urology, 3rd Ed.
18. T.H. Mathew – Comparison of peritoneal and hemodialysis in ARF. Peritoneal Dialysis. Chap.8. P.80 – 86. (Churchill Livingstone Publication)
19. D.F. Scott and V.C. Marshall. Insertion and complications of Tenchhoffe Catheters – Peritoneal dialysis – Chap.6. P. 61-72.
20. M.K. Mani – Dialysis. A.P.I. Text book of medicine– Revised. P.707 to 709.
21. William J.C. Amend and FlavioVincenti – Chronic renal failure and Dialysis – General Urology – Donald R. smith 9th Edition.
22. M. Yaqoob, P.Mc.Chelland and R.Ahamed – Delaymed recovery of renal function in patients with ARF due to accelerated hypertension. Post graduate medical journal .p 67, 820 – 832.
23. Incidence of ESRD – Vol. XVIII No.5. Supl.PP 30-37. American Journal of Kidney diseases.
24. Beat – VolAlbertini, Juan P. Borch – short hemodialysis American Journal of nephrology. 11: 169-173.
25. Vol.XVIII. No.5. Suppl. 2. PP. 9-16. American Journal of Kidney Diseases.
26. Lionell. V. Mailloux and others. Vol.XVIII. No.3.PP. 326-335. Mortality in Dialysis patients – American Journal of Kidney Diseases.
27. J.J.B. Petrice and M.Wright – peritoneal access in ARF – Peritoneal dialysis by Robert. C. Atkins. Chap.7. P.73-79.
28. John. D.Roziah and others – Dialysis induced alteration in LV filling mechanism and clinical significance. American Journal of Kidney Diseases. Vol.XVII. No.3: P.277 – 285.
29. David. M. Spiegel and others – Determinants of survival and recovery in Acute renal failure patients dialysed in intensive care unit. A.M.J. Nephrology.p 44-47.
30. M.J.D. Cassidy – Romania – Hemodialysis – The Lancer Vol.337.
31. A.C. Kennedy – maintenance Dialysis – renal disease 4th Edition by Sir. Douglas Black and N.F. Jons P.523 – 548.
32. Carl. M. Kjellstrand, Robert. O. Berkseth& Horst Klinkmann. Treatment of ARF. Chap.VIII. P.1501 – 1540. Volume II Diseases of the Kidney by Shrier.
33. A.P.Pondey – Renal Transplantation progress in clinical medicine – series 4 by Ahuja.