[HSF] Peritoneal Dialysis

[Nasser F. Abou'Seada]

Prasanna
what dilution of GTN do you use? how much do you add to the dialysate? how
frequent is your cycles and what concentration of dialysate do you use ? 

NFA

> From: prasannasimha
> I use Peritoneal dialysis to dialyse post cardiac surgical patients who
> are edematous and in whome I am interested in decreasing lung water and
> also for its putative anti inflammatory leach out effects as described
> by Roger Mee.
> I have used in some aptients with high Inotropes like with
> Noradrenaline  and adrenaline- NTG(Nitroglycerine) in the dialysate
> fluuid under the hope that it increases the peritoneal permabilty and
> hopefully also dilates splanchnic vessels by its topical action and it
> seems to work well. Are there any studies supporting this concept ? Also
> if there are no studies , how can I determine increase in efficacy of PD
> by adding NTG to the dialysate. i could do a cycle NYG free and with NTG
> and compare but how does one calculate extraction ratio's etc ?
> I do not have  nephrologist or an intensivist in our set up so I have to
> manage P
> Prasanna