(2) CCPD (Continuous Cyclic Peritoneal Dialysis):
In which the dialysate is exchanged at bed time via a cycler (P.D.
machine) 3-4 times and the last exchange fluid is left in the abdomen
during the daytime.(3) NIPD (Nocturnal Intermittent Peritoneal Dialysis):
In which the dialysate is exchanged at bed time via a cycler 5-8
times/day and the abdomen is left dry the rest of the day.
This is the new trend nowadays, but it is limited because of the high cost
of the cycler.
(4) TPD (Tidal Peritoneal Dialysis):
This is still an experimental form of NIPD which was designed to
optimize solute clearance by leaving large volume of dialysate in the
peritoneal cavity throughout the dialysis session.Indications for PD:
Because it provides the best rehabilitation potential as it is safe and
easy, it is used for all ages and all sizes of patients with end stage renal
failure.Specific indications for peritoneal dialysis include the following:
1- Infant and very young children
2- End stage renal failure patients with cardiovascular or haemodynamic
instability.
3- Haemodialysis patients with vascular access failure (especially
diabetics)
4- Patients for whom vascular access can not be created (especially
diabetics)