Evolution of technology for automated peritoneal dialysis

Claudio Ronco, Richard Amerling, Roberto Dell'Aquila, Maria Pia Rodighiero, Pierluigi Di Loreto

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

10 Scopus citations

Abstract

Automated peritoneal dialysis (APD) is important for the further penetration of PD in the dialysis marketplace. Long dwell, equilibration PD (CAPD) has limited applicability in many patients due to inadequate solute clearance or fast membrane transport characteristics. Providing large volumes of dialysate over circumscribed hours is highly labor intensive without an automated system. Early attempts at APD were crude but effective in reducing labor, which was generally provided by nursing staff. Later evolution of PD technology has been greatly accelerated by the microchip, and by miniaturization of components. Current generation machines allow individualized fill volumes, variable tidal volumes and additional daytime automated exchanges, teledialysis, memorized delivery control, and full portability. The ideal machine should not only be able to perform all treatment schedules, but it should also optimize the performance of a selected treatment strategy. Biocompatible solutions, improved osmotic agents, and sorbent technology are all adaptable to APD. The eventual evolution toward continuous flow PD will resolve many of the current problems with both CAPD and APD.

Original languageEnglish
Title of host publicationPeritoneal Dialysis
Subtitle of host publicationA Clinical Update: 15th International Course on Peritoneal, Vicenza, May-June 2006
EditorsR. Dell Aquila, C. Ronco, M.P. Rodighiero
Pages291-309
Number of pages19
DOIs
StatePublished - 2006
Externally publishedYes

Publication series

NameContributions to Nephrology
Volume150
ISSN (Print)0302-5144

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