Document Detail


Volume status in peritoneal dialysis.
MedLine Citation:
PMID:  21364213     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fluid homeostasis is one of the fundamental roles of the kidney and a crucial aspect in clinical management of patients on peritoneal dialysis (PD). Volume status has an important impact on the outcome of PD patients. Fluid excess leads to accelerated development of cardiovascular disease. Volume status may also impact on disorders and assessment of nutritional state. While ultrafiltration and residual urine volume have featured prominently in PD research, the importance of fluid intake and thirst in PD patients has received relatively little attention. Despite older studies suggesting that fluid overload is common in PD, current PD techniques can produce sufficient fluid removal to achieve good control of fluid, with associated cardiac benefits in PD patients. One of the major challenges is to apply these techniques to obtain ideal volume status in patients. Bioelectrical impedance analysis appears to be the most promising technique currently available to guide fluid management.
Authors:
Graham Woodrow
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis     Volume:  31 Suppl 2     ISSN:  1718-4304     ISO Abbreviation:  Perit Dial Int     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-12-29     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  8904033     Medline TA:  Perit Dial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  S77-82     Citation Subset:  IM    
Affiliation:
Renal Unit, St James's University Hospital, Beckett Street, Leeds, United Kingdom. graham.woodrow@leedsth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Body Composition / physiology
Body Water / physiology
Body Weight / physiology
Drinking / physiology
Electric Impedance
Extracellular Fluid / chemistry
Homeostasis / physiology*
Humans
Intracellular Fluid / physiology
Nutritional Status
Peritoneal Dialysis / methods*
Serum Albumin / analysis
Thirst / physiology
Treatment Outcome
Ultrafiltration
Urea / pharmacokinetics
Urination / physiology
Urine
Water-Electrolyte Balance / physiology*
Water-Electrolyte Imbalance / physiopathology
Chemical
Reg. No./Substance:
0/Serum Albumin; 57-13-6/Urea

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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