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Abstract
Starting November 1973, peritoneal dialyses have been performed 7 days a week on a group of 18 patients, 11 of whom still on the program. A short daily dialysis technique at a dialysate flow of 2.5 L/hour was used. This group of patients has undergone 9,724 dialyses, 86.8% of which at home.
A group of 4 patients had to be switched to hemodialysis. During the last 16 months a total of 5,670 short daily dialyses have been performed, 97.4% of which at home.
Another group of 6 patients has undergone Continuous Ambulatory Peritoneal Dialysis (CAPD) for 24 hours daily with 10-liter dialysate containing 3-4.25 g/100 ml dextrose. A total of 967 dialyses have been performed. Peritonitis occurred in 7 instances, and 2 patients had to be switched to hemodialysis.
In summary, daily dialysis with either schedule reveals itself suitable for home program and requires a much smaller financial effort from the community. The data presented indicate that CAPD constitutes the most physiological approach to the problem of waste removal and fulfills the old dream of dialysists, i.e., to remove the toxics at the time they are produced. CAPD still deserves the efforts of specialists in the field in minimizing the risk of peritonitis and/or protein losses.