Introduction:
AKI is associated with substantial mortality among patients admitted to intensive care units (ICU) [1-3]. Patients with kidney failure are more frequently admitted to critical care units, facing higher death risks compared to those with preserved kidney function[4,5]. Peritoneal dialysis as a dialysis modality over CRRT in critically sick patients still holds good. Despite limited data available , we will like to bring in discussion few cases in which peritoneal dialysis as a renal replacement modality did better results than other modalities of dialysis .
Methods:
we have described the mode of presentation , the parameters at admission ,12 hrs and 24 hrs and (as guided by response to therapy) dialysis outcome and the overall outcome in 5 critically sick patients who attended in our hospital during last 1 year .The parameters included are Hemoglobin, serum creatinine ,serum sodium ,serum potassium ,blood urea, pH ,bicarbonate ,lactate along with vital parameters .
Results:
5 cases discussed here highlights that acute peritoneal dialysis is highly effective in correcting acidosis ,electrolyte imbalance while maintaining hemodynamic stability in critically sick adult patients with several co morbidities and clinical presentation leading to develop AKI and requiring dialysis support .In recent era ,CRRT being the most preferred RRT option in AKI in ICU set up ,however in conditions like CVA ,CLD with bleeding tendencies where use of heparin /CRRT difficult ,acute peritoneal dialysis still hold a good place in managing them.
Conclusions:
There is sufficient evidence of comparable outcomes between PD and extracorporeal therapies even in critically ill ICU patients. The benefits of reduced risk of bleeding , cost effectiveness, ease of training, and reduced need for electricity and water make it the optimal form of therapy for low-resource environments.
I have no potential conflict of interest to disclose.
I did not use generative AI and AI-assisted technologies in the writing process.