<p>Evaluating Patient Safety And Ease Of Use Of A Novel Connection-Assist Device For Peritoneal Dialysis</p>
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It is estimated that there are currently over 3 million patients receiving dialysis treatment worldwide. With effective pre-dialysis counselling, a majority of patients choose the home-based therapy peritoneal dialysis (PD) but only approximately 11% of prevalent dialysis patients use this modality. Connection-assist devices can overcome the challenges posed by decreased manual dexterity and/or visual acuity, and can allow more patients to be treated with home-based therapies. As part of the CE marking authorization, a connection device has been evaluated for safety and ease of use in a usability study.Fifteen patients and nine carers volunteered in this study, ranging from 23 to 86 years in age and from 0.3 to 24 years in experience in the PD therapy. The operating cycle consisted of eight tasks, each having several handling steps. The data analysis focused on the task effectiveness and the subjects' subjective feedback from the NASA task load index (N-TLX) questionnaire and semi-structured interviews.Of 1248 handling steps performed in total, 38 use errors were observed and discussed with the subjects. This equates to 97% of all handling steps being performed safely and easily. In all six dimensions of the N-TLX, more than 50 percent of subjects rated the task load 50 points or less on the scale. Regarding the handling of the device, 13 of 15 of the patients and 8 of 9 of the carers gave positive feedback.Safety and ease of use was demonstrated by evaluating task effectiveness (97% SU), interviews and N-TLX. Additionally the study provided valuable individual user feedback, which will inform the final design of the system for PD. The majority of patients and carers gave positive feedback regarding use and handling of this connection device. Innovative connection devices in general promise to reduce the barriers to using this home-based dialysis treatment.Cite
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Chronic renal insufficiency
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Objective:To study the result of peritoneal dialysis in the elderly patients with chronic renal failure.Methods:A prospective observational study was conducted.Forty-one patients,aged 60 to 82 years,were investigated.The dosage of rHuEPO was 2000IU～3000IU time,2～3time/week or 10000IU a time/week.Results:Recommendation regarding type of peritoneal dialysis must be individualized.After rHuEPO and peritoneal dialysis treatment,BUN、Scr were decreased and CO2CP and Hb increased significantly(P0.001).Conclusion:Appropriate peritoneal dialysis and rHuEPO treatment show a relatively good therapeutic effect for elderly patients with chronic renal failure.
Chronic renal failure
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Objectives To summarize the complications of peritoneal dialysis in postoperative infants with congenital heart disease(CHD).Methods Clinical data of infants with CHD who received cardiac surgery from June 2010 to June 2012 in The People's Hospital of Gaozhou were retrospectively analyzed.There were 41 cases who had acute kidney injury or acute cardiac insufficiency after surgery.Peritoneal dialysis was performed and related complications were analyzed.Results Renal function in most infants were recovered gradually and duration of peritoneal dialysis was(5.92±4.74) days.Related complications of peritoneal dialysis occurred in 12 cases and the most common complication was pulmonary complications..All complications were cured without fatal complications..Conclusions Related complications of peritoneal dialysis are few and not serious.Early use of peritoneal dialysis is safe and effective when acute renal injury or cardiac insufficiency occurrs in postoperative infants with CHD.
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Laparoscopic Placement of Peritoneal Dialysis Catheters in CAPD Patients: Complications and Survival
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A patient with refractory heart failure and anasarca underwent eight peritoneal dialyses during a 21-month period. Clinical response to the dialyses was excellent. To our knowledge, this is the first patient upon whom repeated peritoneal dialysis was used over a prolonged period of time for refractory heart failure.
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