1. PD continues to be the preferred dialysis modality for infants and young children
2. Patients with severe hemodynamic instability on hemodialysis
3. Patients with difficult vascular access
1. The one absolute contraindication to chronic PD is an unsuitable peritoneum due to the presence of extensive adhesions, fibrosis, or malignancy.
2. Abdominal hernias
3. Presence of colostomy, ileostomy, nephrostomy, or ileal conduit
4. Recurrent chronic backache with preexisting disc disease
5. Severe psychological and social problems
6. Severe diverticular disease of the colon
7. Severe neurologic disease, movement disorder, or severe arthritis preventing self care. (caregivers can be trained to perform the peritoneal dialysis)
8. Severe chronic obstructive pulmonary disease
Studies investigating differences in patient mortality between PD and hemodialysis (HD) have been conflicting. Most reports have shown no significant difference in survival between PD and non-diabetic HD patients.
National Kidney Foundation has great handbook. To view please Click Here
For information on nutrition and peritoneal dialysis please Click Here