DIALYSIS

Hemanth P
Author At
www.lazykidney.com
Dialysis is the process of removing waste products and excess fluid
from the body.

Dr. Willem Kolff built first artificial kidney in 1944, and later in early
1950’s he introduced advanced artificial kidneys with improved
design.
Dr. Belding Scribner, developed a way for ESRD patients to receive
treatment through an access point in their arm. In 1962, he opened
the first official dialysis clinic for patients.
Who need dialysis?

• In people whose kidney fails to remove waste metabolites

effectively.
• Fluid overload in the body
• Metabolic acidosis, increased blood acidic level.
• Poisoning
• Uremia
Why Dialysis?

• When kidney is damaged, the waste products builds up slowly in

the body to a critical level and Dialysis has to be started to remove
these waste products.
• To correct metabolic acidosis.
• To remove dialyzable drugs from drug abuse patients.
• To avoid Uremia and Fluid overload in CKD patients.
Dialysis

• Hemodialysis
– Intermittent HD
– Continuous HD Therapies : CRRT
– Hybrid Therapies : SLED

• Peritoneal Dialysis
– CAPD
– APD : CCPD,IPD,PD Plus,
– TPD
– CFPD
Benefits of Dialysis

• Hemodialysis only involves dialysis session three times a week,

with four days each week without the need to go to a medical clinic
for dialysis.
• Hemodialysis is recommended for people who are unable to carry
out the dialysis procedure themselves, due to visual impairment,
dementia, or other conditions.
• The primary advantage of peritoneal dialysis is increased comfort
and ease of use, as the dialysis can be carried out at home, without
the need for regular visits to a medical clinic for the dialysis to
occur.
• Peritoneal dialysis is also associated with less strict restrictions on
the diet and intake of fluids when compared to those of
hemodialysis.
Disadvantage of Dialysis

• Hemodialysis is associated with a restriction in the intake of fluid

and dietary changes, which may be difficult for some people to
adjust to.
• Peritoneal dialysis needs to be carried out every day, which is a
major disadvantage for people who find it disruptive.
• Some find it inconvenient for the presence of the catheter in the
abdomen, which is left there permanently.
• Peritoneal dialysis is also associated with a reduction in protein
levels in the blood, which may lead to the presentation of
symptoms such as fatigue, weight gain, and malnutrition.