Indications and contraindications for peritoneal dialysis
Indications for peritoneal dialysis Peritoneal dialysis can be prescribed to almost any patient with chronic end-stage renal disease, regardless of age. The patient's preference for peritoneal dialysis or refusal of hemodialysis is crucial in choosing peritoneal dialysis as the initial mode of dialysis, except for absolute medical contraindications. Peritoneal dialysis may be particularly suitable for those who live far away from the hemodialysis center or have transportation problems to that center. Peritoneal dialysis is the only alternative for patients with vascular access to hemodialysis that is difficult or impossible, such as those with extensive venous thrombosis, severe ischemia of the extremities, or a history of multiple arteriovenous fistulas. The difficulty of maintaining the vascular approach in infants and young children is also why peritoneal dialysis is the preferred method of dialysis in this age group. Riverside Nephrology Physicians provide the be...