What type of hemodialysis allows patient to be ambulatory

Automated peritoneal dialysis is also known as continuous cycling peritoneal dialysis CCPD. This type of dialysis uses a machine that cycles through multiple exchanges at night while you sleep. The machine fills your abdomen with dialysate and allows it to dwell there for a while before draining into a sterile bag.

In the morning, you empty the bag. If you are using automated peritoneal dialysis, you must remain attached to the machine for around hours each night. However, you do not need to connect to the machine during the day because you start each morning with a dwell time that lasts for the entire day. So which treatment is right for you when comparing hemodialysis vs peritoneal dialysis? Peritoneal dialysis offers continuous filtration and does not require as much disruption to your daily activities.

However, hemodialysis is ideal for patients with less kidney function. Peritoneal dialysis is not a good option for obese patients or people who have abdominal scarring.

Hemodialysis may be preferred by patients who want healthcare professionals to handle more of their treatments because peritoneal dialysis requires patient training and dedication. Only you and your doctor can make the decision about which type of dialysis is best for you. Factors that will influence your treatment options include:. At Durham Nephrology, we provide comprehensive care to patients in Durham and Oxford, NC with kidney disease and high blood pressure.

Our team is experienced in providing treatment with hemodialysis and peritoneal dialysis. If you have questions about hemodialysis vs peritoneal dialysis, call us at to talk to a staff member and make an appointment. New to MyHealth? Manage Your Care From Anywhere.

Activate Account. Create a New Account. Forgot Username or Password? Types of Dialysis There are two types of dialysis we may use: peritoneal and hemodialysis. Peritoneal Dialysis To perform peritoneal dialysis, we will: Surgically place a soft, hollow tube into the lower abdomen near the navel. Instill a special solution called dialysate into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum.

Leave the dialysate in the abdomen for a certain period of time, which we will determine on an individual basis. The dialysate fluid absorbs the waste products and toxins through the peritoneum. Drain the fluid from the abdomen, measure it and then discard it.

Exchanges, often referred to as "passes," can be done three to five times a day, during waking hours. Continuous cyclic peritoneal dialysis CCPD : Requires the use of a special dialysis machine that can be used in the home. This type of dialysis is done automatically, even while you are asleep. IPD can be done at home, but it is usually in the hospital. Peritoneal Dialysis: Possible Complications Possible complications of peritoneal dialysis include an infection of the peritoneum, or peritonitis, where the catheter enters the body.

During dialysis: You may have different protein, salt and fluid needs. You may have different potassium restrictions. You may need to reduce your calorie intake, since the sugar in the dialysate may cause weight gain.

Hemodialysis Hemodialysis is can be performed at home or in a dialysis center or hospital by trained healthcare professionals. During the procedure, we will: Surgically place a special type of access, called an arteriovenous AV fistula, usually in your arm. We will need to join an artery and a vein together. We may also insert an external, central intravenous IV catheter, but is less common for long-term dialysis. Connect you to a large hemodialysis machine. The machine drains the blood, bathes it in a special dialysate solution to remove waste substances and fluid and then returns it to your bloodstream.

Tips for Undergoing Hemodialysis Hemodialysis is usually performed several times a week and lasts for four to five hours. Because of the length of time hemodialysis takes, it may be helpful to bring reading material, in order to pass the time during this procedure.

Peritoneal dialysis per-ih-toe-NEE-ul die-AL-uh-sis is a way to remove waste products from your blood when your kidneys can't adequately do the job any longer. This procedure filters the blood in a different way than does the more common blood-filtering procedure called hemodialysis. During peritoneal dialysis, a cleansing fluid flows through a tube catheter into part of your abdomen. The lining of your abdomen peritoneum acts as a filter and removes waste products from your blood.

After a set period of time, the fluid with the filtered waste products flows out of your abdomen and is discarded. These treatments can be done at home, at work or while traveling. But peritoneal dialysis isn't an option for everyone with kidney failure. You need manual dexterity and the ability to care for yourself at home, or you need a reliable caregiver.

You need dialysis if your kidneys no longer function well enough. Kidney damage generally progresses over a number of years as a result of long-term conditions, such as:. In hemodialysis, blood is removed from the body, filtered through a machine and then the filtered blood is returned to the body. Hemodialysis is typically done in a health care setting, such as a dialysis center or hospital, though it can sometimes be done at home. Although both types of dialysis can effectively filter your blood, the benefits of peritoneal dialysis compared with hemodialysis include:.

Talk with your doctor about which type of dialysis might be best for you. Factors to consider include:. It's also likely that people using peritoneal dialysis will eventually have a decline in kidney function that requires hemodialysis or a kidney transplant. You'll need an operation to insert the catheter that carries the dialysate in and out of your abdomen.

The insertion might be done under local or general anesthesia. The tube is usually inserted near your bellybutton. After the tube is inserted, your doctor will probably recommend waiting up to a month before starting peritoneal dialysis treatments to give the catheter site time to heal. The process of filling and then draining your abdomen is called an exchange. Different methods of peritoneal dialysis have different schedules of exchange.