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Perit Dial Int. 2021 Jan 7:896860820983670. doi: 10.1177/0896860820983670. On-line forward of print.
Sufferers with kidney failure and acute respiratory misery syndrome (ARDS) requiring inclined place haven’t been candidates for peritoneal dialysis (PD) resulting from concern with elevated intra-abdominal stress, discount in respiratory system compliance and dangers of peritoneal fluid leaks. We describe our expertise in delivering acute PD throughout the surge in Covid-19 acute kidney damage (AKI) within the subset of sufferers requiring inclined positioning. All seven sufferers included on this report had been admitted to the intensive care unit with SARS-CoV-2 an infection resulting in ARDS, AKI and multisystem organ failure. All required renal substitute remedy, and inclined positioning to enhance air flow/perfusion mismatch. All seven had been capable of proceed PD regardless of inclined positioning with none detrimental results on respiratory mechanics or the necessity to swap to a unique modality. Fluid leakage was famous in 71% of sufferers, however delicate and readily resolved. We had been capable of efficiently implement acute PD in ventilator-dependent inclined sufferers affected by Covid-19-related AKI. This required a group effort and a few modifications within the standard PD prescription and supply.
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