Re-examination of the role of peritoneal dialysis to treat patients with acute kidney injury

摘要

The role of peritoneal dialysis (PD) in the management of patients with acute kidney injury (AKI) is not well defined. In fact, a review published this year, discussing the dose of renal replacement therapy (RRT) for patients with AKI, makes no mention of PD as a treatment option (1). Major concerns about PD as a treatment modality for AKI were raised by a randomized trial conducted in Vietnam and published in the New England Journal of Medicine in 2002 (and discussed later in this article) (2). That study, suggesting a higher mortality rate in AKI patients treated with PD than in patients treated with continuous venovenous hemofiltration (CVVH), made clinicians rethink the role of PD for patients with AKI.