DOI: 10.36347/sjams.2020.v08i04.003

Pages: 1074-1077

Background: Use of Acute peritoneal dialysis (PD) is underutilized in treatment of critically ill acute kidney injury (AKI) patients admitted at intensive care units (ICU). At places where bedside Hemodialysis is not available in ICU, acute PD may provide a useful and equally effective alternative renal replacement modality. Methods: Acute PD sessions performed at our ICU during last 3 years, were analyzed. Demographic profile of patients, various complications reported, and patient outcome was studied. Results: Total 432 Acute PD sessions were performed during study period. Mean Duration was 43.8± 14.5 hours. Poor outflow was the most common complication observed (n-33, 7.6%), while peritonitis was observed in 26 (6.01%) cases. Mortality rate was 38.7%, but none of the death was directly attributed to acute PD complications. Mean Urea reduction ratio were 51.3% and 62.9%, at 24 hours and at end of sessions, respectively. Conclusion: Acute PD is an efficient and cost-effective renal replacement modality in critically ill ICU patients with minimal complication rates. In resource poor settings, it provides a viable alternative to hemodialysis.