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Nephrol Dial Transplant (2004) 19: 782-784
Nephrol Dial Transplant Vol. 19 No. 4 © ERA-EDTA 2004; all rights reserved

Editorial Comment

Optimal peritoneal dialysis: choice of volume and solution

Cornelis H. Schröder

Department of Pediatric Nephrology and Dialysis, University Hospital Utrecht-Wilhelmina Children's Hospital, Utrecht, The Netherlands

Correspondence and offprint requests to: C. H. Schröder, Department of Pediatric Nephrology and Dialysis, University Hospital Utrecht-Wilhelmina Children's Hospital, PO Box 85090, 3508 AB Utrecht, The Netherlands. Email: c.h.schroder@wkz.azu.nl

Keywords: bicarbonate; intraperitoneal pressure; intraperitoneal volume; peritoneal surface area; pH-neutral dialysis solutions

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   Introduction
 
Traditionally, peritoneal dialysis is performed using a volume of 2 l of fluid, containing glucose as an osmotic agent and lactate as a buffer. Currently, both the volume to be applied and the composition of the dialysis solution are subject to discussion. An interesting contribution with respect to the value of pH-neutral dialysis solutions is reported in this issue of Nephrology Dialysis Transplantation [1].



   Volume
 
Historically, 2 l of dialysis fluid are administered for the dwell during peritoneal dialysis in adult patients. This will vary from 1.5 l in the very small adult to 2.5 . . . [Full Text of this Article]

Peritoneal area
Peritoneal blood flow
Intraperitoneal pressure


   Composition
 


   Conclusion
 

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M. Fischbach, C. Dheu, L. Seuge-Dargnies, and J. F. Delobbe
ADEQUACY OF PERITONEAL DIALYSIS IN CHILDREN: CONSIDER THE MEMBRANE FOR OPTIMAL PRESCRIPTION
Perit. Dial. Int., June 1, 2007; 27(Supplement_2): S167 - S170.
[Abstract] [Full Text] [PDF]