Renal Replacement treatment for end Stage Renal Failure - the Role of capd

Before discussing clinical application and its complications, it is extremely important to have an understanding of the relevant peritoneal anatomy and physiology. In essence PD involves the transport of solutes and water across a ‘membrane’ that separates two fluid containing compartments: 1. Blood in peritoneal capillaries, which contains uremic toxins 2. Dialysis solution in the peritoneal cavity, which contains sodium, chloride, lactate and dextrose. Peritoneal membrane is a heterogeneous, heteroporous, semipermeable membrane with relatively complex anatomy and physiology. AnAtomy And PhysIoloGy of Pd Peritoneal membrane is composed of two layers, parietal peritoneum (about 10 % of total) covering the inner surface of the abdominal wall, and visceral peritoneum (about 90% fig. 1 : Movement of ESRD patients from one form of renal replacement therapy (RRT) to another. Renal Transplantation Peritoneal Dialysis Haemodialysis