Chronic Kidney Disease stage 5 Urgent start PD PD first policy Chronic Kidney Disease stage 5
Conditions
Interventions
A flexible double cuff coil PD catheter was inserted by Seldinger technique at the bedside within 48 hour after randomization. Blood transfusion was need to keep Hct>25%,
and cryoprecipitate factor was infused 1 hour before procedure if BUN >80 mg/dl. PD was started within 48 hour after PD catheter insertion. Manual PD was performed by using 1.5% or 4.25% Dextrose PD f
500-
800 ml (if BW 25%. After PD catheter was successful insertion,
PD was not performed until waiting for break-
Experimental Procedure/Surgery,Experimental Procedure/Surgery
Urgent start peritoneal dialysis,Temporary Hemodialysis
Sponsors
Maharat Nakornratchasima Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: - Age ≥ 18 years in Universal coverage program - Advance CKD V who have CKD complication and need urgent dialysis within 1 week
Exclusion criteria
Exclusion criteria: - Contraindication for PD (midline abdominal scar, inguinal hernia, umbilical hernia, severe abdominal skin infection, no caregiver, blindness both eye). - Life threatening CKD complication (Fluid overload with pulmonary edema, K>6.5 mEq/L, HCO3 35 - Terminal illness (who expect to die within 6 months)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dialysis-related complication 6 week (after randomization) Non infectious and infectious complication | — |
Secondary
| Measure | Time frame |
|---|---|
| 6 week, 6 month and 1-year patient survival 6 week, 6 month and 1 year patient survival,1-year technique survival 1 year PD technique survival,exit site infection 1 year exit site infection according to ISPD guideline,PD peritonitis rate 1 year PD peritonitis according to ISPD guideline,Number of Admission 1 year Related with dialysis and non-related with dialysis | — |
Countries
Thailand
Contacts
Public ContactWatanyu Parapiboon
Maharat Nakornratchasima Hospital
Outcome results
None listed