What Is Dialysis Management?
Dialysis involves invasive retrieval of blood, filtering it outside of the body, and returning it (in hemodialysis), or it involves invasive irrigation of the abdomen to dilute toxins that decrease with repeated exchanges until cleared (in peritoneal dialysis).
Both peritoneal dialysis and hemodialysis can replace each other when there is a failure:
- Hemodialysis complication of thrombus, infection, or obstruction.
- Peritoneal complication of catheter malfunction requiring replacement or peritonitis from an introduced infectious agent during one of the many procedures.
For end-stage renal disease (ESRD), kidney transplant is the treatment of choice, but the candidates require careful evaluation since most of these patient have severe co-morbidities, such as diabetes, heart disease, etc., which will impact peri-surgical risk, post-transplant patient morbidity and survival, or survival of the transplanted kidney. Kidney transplant success relies on timely resumption of function of the implanted kidney and absence of antibodies that affect rejection. Patients are immunosuppressed to increase the chances of organ survival.