Peritoneal Dialysis in Children

Document Type

Book Chapter

Publication Date

2023

Identifier

DOI: 10.1007/978-3-030-62087-5_29

Abstract

Like many chapters in this book, the origins of the present chapter can be traced to the 1976 discovery of continuous ambulatory peritoneal dialysis (CAPD) by Moncrief, Popovich, and their associates (Popovich RP, Ann Intern Med 88(4):449–456, 1978). Early on, PD was widely considered to be the kidney replacement therapy (KRT) of choice for acute renal failure in pediatric patients, primarily because PD is intrinsically simple, safe, and easily adapted for use in patients of all ages and sizes. However, following on the heels of the seminal work of Moncrief and Popovich, it became apparent that CAPD was a method of chronic KRT that was ideally suited to the needs of the pediatric patient with end-stage kidney disease (ESKD) as well.

In the first edition of this book and chapter, the practical aspects of providing chronic peritoneal dialysis (CPD) to children were highlighted, in large part reflecting the vast clinical experience of one of the prior authors who helped pioneer the use of CAPD for children. In the second edition, we built on that foundation by making every effort to include the most current information considered vital to the provision of “optimal” dialytic care in the pediatric clinical arena. In doing so, we incorporated what we believed were the most noteworthy clinical experiences published by our pediatric nephrology colleagues from around the globe. In addition, we purposely made reference to a variety of research efforts pertinent to CPD because of their impact on the clinical needs of patients and to serve as a stimulus for future research in this area of pediatric ESKD care. In the third edition and the current edition, we have taken a similar approach. We have once again included the most current information pertinent to the clinical care of children on CPD by incorporating lessons learned from a variety of sources including national/international registries, published guidelines, clinical experiences, and research initiatives conducted by dialysis collaboratives. In many cases, the information we have added has proven to be a valuable follow-up to recommendations provided in the prior editions. In the end, we hope, and we are confident that this chapter will successfully serve its role as a frequently used resource designed to make possible the best of care for children who receive CPD, and their families.

Journal Title

Nolph and Gokal's Textbook of Peritoneal Dialysis

First Page

675

Last Page

735

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