A comparison of peritoneal dialysance (D) during CAPD, intermittent peritoneal dialysis (IPD) and tidal PD (TPD) in awake normal dogs. 1991

S R Ash, and E M Janle, and E M Hucker
Ash Medical Systems, Inc., Purdue Research Park, West Lafayette, IN.

The important variables which determine peritoneal clearances include: residual volume, cycle volume, and cycle frequency. Various combinations of these variables result in CAPD, IPD, and TPD schedules. We decided to develop an animal model in which the clearances of these modes could be compared, performing dialysis on awake dogs with normal kidney function. In five successive experiments, two silicone catheters were placed in the abdomen of anesthetized dogs, one in the lower abdomen and one between the liver and diaphragm. On successive days, with the dogs awake but lying down, CAPD, IPD, and TPD schedules were performed for 4 hours, using 1.5% Inpersol (Abbott Laboratories, IL.). For CAPD the infused volume was 2 liters, drained at 4 hours. For IPD, 2 liters were infused and drained each hour. For TPD, one liter residual was infused, and another liter infused and drained each 20 minutes, to result in a 3 liter/hour flow-through-rate. The dialysance of glucose (Dglu) was calculated from changes in dialysate and blood glucose concentration. Dglu reproducibly predicted the Durea, with Dglu = 0.6 Durea. Our experiments demonstrated that without efforts to optimize TPD, its dialysance is similar to that of standard TPD. The higher average TP volume of TPD offsets the higher fluid flow rate of TPD schedules. Both IPD and TPD have higher dialysance than CAPD.

UI MeSH Term Description Entries
D010530 Peritoneal Dialysis Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure. Dialyses, Peritoneal,Dialysis, Peritoneal,Peritoneal Dialyses
D010531 Peritoneal Dialysis, Continuous Ambulatory Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution. CAPD,Continuous Ambulatory Peritoneal Dialysis
D010537 Peritoneum A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall. Parietal Peritoneum,Peritoneum, Parietal,Peritoneum, Visceral,Visceral Peritoneum,Parametrium,Parametriums
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D005947 Glucose A primary source of energy for living organisms. It is naturally occurring and is found in fruits and other parts of plants in its free state. It is used therapeutically in fluid and nutrient replacement. Dextrose,Anhydrous Dextrose,D-Glucose,Glucose Monohydrate,Glucose, (DL)-Isomer,Glucose, (alpha-D)-Isomer,Glucose, (beta-D)-Isomer,D Glucose,Dextrose, Anhydrous,Monohydrate, Glucose
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D014508 Urea A compound formed in the liver from ammonia produced by the deamination of amino acids. It is the principal end product of protein catabolism and constitutes about one half of the total urinary solids. Basodexan,Carbamide,Carmol
D015314 Dialysis Solutions Solutions prepared for exchange across a semipermeable membrane of solutes below a molecular size determined by the cutoff threshold of the membrane material. Dialysate,Dialysis Solution,Dialyzate,Dialysates,Dialyzates,Solution, Dialysis,Solutions, Dialysis

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