Unlike Hemodialysis, Peritoneal Dialysis takes place inside of the body using the Peritoneum, which is an internal porous membrane in the abdomen that can act as a natural filter and substitute for kidney function.
With Peritoneal dialysis, a permanent catheter is implanted into the abdomen, through which a sterile dialysis solution is poured into the abdominal cavity containing Peritoneum. Here, wastes such as urea and creatinine are filtered through the Peritoneum and absorbed by the solution, which removes them from the blood along with excess fluids while balancing electrolytes in the bloodstream. After a certain period of time and as prescribed by your doctor, the dialysis solution is emptied from the abdomen and replaced with a fresh new solution to begin the process anew.
There are 2 types of Peritoneal Dialysis:
- Continuous Ambulatory Peritoneal Dialysis (CAPD)
- Automated Peritoneal Dialysis (APD)
CAPD may be performed at home, work or other location by patients comfortable with the idea of changing their own dialysis solution on-the-go. CAPD is typically performed 3-5 times during a 24-hour period and takes about half an hour to complete.
APD is performed at home or in-clinic with the assistance of a dialysis machine that automatically drains and replaces the solution. This can be performed while the patient is awake or sleeping. For additional flexibility, some patients opt to combine both CAPD and APD treatments.
The One on One team is here to assist you in choosing the Peritoneal dialysis method you are most comfortable with and teaching you to perform Peritoneal dialysis on your own, which requires no medical background and can be done by anyone. Learning how to perform Peritoneal dialysis typically takes 2 weeks of practice and we will make sure you are fully comfortable with the procedure before allowing you to do it all on your own. Once you learn to perform Peritoneal dialysis, you will still receive regular evaluations with a nephrologist and dialysis technician to ensure that your dialysis treatment is achieving optimal results.