Dialysis Fluid

Osteomalacic dialysis osteodystrophy: a trial of phosphate-enriched dialysis fluid.

To assess whether phosphate depletion is an aetiological factor in osteomalacic dialysis osteodystrophy we undertook a prospective trial of phosphate-enriched dialysis fluid, in association with oral 1alpha-hydroxycholecalciferol, for this condition. Thirty patients started the trial; of the 27 who completed more than 6 months' treatment, 14 had iliac crest bone biopsies at the beginning and en...

Hazard of peritoneal dialysis: contaminated fluid.

Acute haemolysis due to concentrated dialysis fluid.

Fatal acute haemolysis occurred in a 65-year-old man undergoing regular home haemodialysis for terminal renal failure. Circumstantial evidence indicating that the haemolysis resulted from exposure to concentrated dialysis solution was supported by in-vitro studies. Frank haemolysis in blood samples occurred at a dilution of greater than or equal to 1/2 of dialysis fluid. Osmotic fragility tests...

Peritonitis associated with vaginal leakage of dialysis fluid in continuous ambulatory peritoneal dialysis.

This 17-year-old girl had been born with an imperforate anus and rectovaginal fistula, which was treated by a rectal cut-back. Because of recurrent urinary tract infections associated with ureteric reflux and hydronephrosis bilateral ureteric reimplantation and an ileal loop bladder were performed in childhood. She was treated with haemodialysis at 15 years of age because of reduced renal funct...

Glucose and Insulin Response to Peritoneal Dialysis Fluid in Diabetic and Nondiabetic Peritoneal Dialysis Patients.

A postprandial increase in blood glucose in peritoneal dialysis (PD) patients with diabetes was observed in our previous study using continuous blood glucose monitoring. The response was observed in diabetic but not in nondiabetic PD patients. In addition, the response was reduced when patients used icodextrin; glucose absorbed from the peritoneum was responsible for the postprandial increase i...