Edgar V. Lerma ๐Ÿ‡ต๐Ÿ‡ญ Profile picture
Chicago Sports Fan... Nephrologist by day. My tweets are not medical advice. The views expressed here are my own and not those of my employer.

Aug 6, 2019, 18 tweets

Urgent Start PD: Defining what it is and why it matters ca. 2018 from @CJASN #Nephpearls
๐Ÿ‘‰๐Ÿผ cjasn.asnjournals.org/content/clinjaโ€ฆ

Despite the adverse scenario for initiating dialysis, early start PD had similar outcomes in comparison to planned-start PD in long-term follow-up ca. 2018 #Nephpearls
๐Ÿ‘‰๐Ÿผ karger.com/Article/FullTeโ€ฆ

Urgent start PD: Modality of choice - manual or automated ca. 2019 from @CKJsocial #Nephpearls
๐Ÿ‘‰๐Ÿผ academic.oup.com/ckj/article/12โ€ฆ

Urgent Start PD Program: Key ๐Ÿ”‘ Components ca. 2012 #Nephpearls
๐Ÿ‘‰๐Ÿผ advancesinpd.com/adv12/Part3/10โ€ฆ

Urgent vs. nonurgent starts according to @goKDIGO #Nephpearls

๐Ÿ“Œ Urgent starts: dialysis must be initiated imminently or in < 48 hours after presentation to correct life-threatening manifestations

๐Ÿ“Œ Nonurgent: dialysis initiation can be > 48 hours after presentation

Urgent Srart PD: General concept and definition ca. 2013 #Nephpearls
๐Ÿ‘‰๐Ÿผ ncbi.nlm.nih.gov/pmc/articles/Pโ€ฆ

Urgent-start PD is defined as initiation of PD in patients w/ newly diagnosed ESKD who are not yet on dialysis and who require dialysis initiation < 2 weeks (as little as 24-48 hours) after PD catheter placement but do not require emergent dialysis #Nephpearls

Urgent Start PD vs Emergent Start PD from @AbreoKen @ASDINNews #Nephpearls
๐Ÿ‘‰๐Ÿผ cdn.ymaws.com/www.asdin.org/โ€ฆ

In this study, Urgent Start PD was defined as initiating dialysis w/in 14 days of PD catheter insertion
๐Ÿ“Œ Emergent: Started PD w/in 48 hours of catheter placement
๐Ÿ“Œ Non-emergent: Started PD from 48 hours-14 days
#Nephpearls @Leslie_Wong222
๐Ÿ‘‰๐Ÿผ ajkd.org/article/S0272-โ€ฆ

Emergent dialysis โžก๏ธ defined as having any indication for dialysis that could not wait 48 hours

Urgent dialysis โžก๏ธ defined as requiring dialysis in less than 2 weeksโ€™ time, but able to wait more than 48 hours

#Nephpearls
๐Ÿ‘‰๐Ÿผ ajkd.org/article/S0272-โ€ฆ

Urgent Start PD: Initiation of PD therapy earlier than 2 weeks after PD catheter insertion
๐Ÿ“Œ Treatment is performed with low fill volumes in the supine position using a cycler to avoid pericatheter leak
#Nephpearls
๐Ÿ‘‰๐Ÿผ ajkd.org/article/S0272-โ€ฆ

Urgent Start: PD is initiated 24โ€“48h after PD catheter placement
๐Ÿ“Œ Outpatient setting
๐Ÿ“Œ Low dwell volumes while in the supine position (to decrease the risk of developing a leak)
#Nephpearls
๐Ÿ‘‰๐Ÿผ academic.oup.com/ckj/article/11โ€ฆ

Early start PD is a newly proposed term for patients who can wait from 3 to 14 days to initiate PD after catheter placement, since they do not truly require to start dialysis immediately #Nephpearls
๐Ÿ‘‰๐Ÿผ karger.com/Article/FullTeโ€ฆ

Making Assisted Peritoneal Dialysis a Reality in the US ๐Ÿ‡บ๐Ÿ‡ธ ca. 2019 from @CJASN #DialysisDirector
๐Ÿ‘‰๐Ÿผ cjasn.asnjournals.org/content/clinjaโ€ฆ

Acute Start PD during the #COVID19 Pandemic: Outcomes and Experiences ca. 2020 from @JASN_News #Nephpearls
๐Ÿ‘‰๐Ÿผ jasn.asnjournals.org/content/early/โ€ฆ

Acute PD in the treatment of #COVID19 related AKI ca. 2020 from @CKJsocial #Nephpearls
๐Ÿ‘‰๐Ÿผ academic.oup.com/ckj/article/doโ€ฆ

Urgent start PD ca. 2020 from @ASNKidney360 #Nephpearls
๐Ÿ‘‰๐Ÿผ kidney360.asnjournals.org/content/kidneyโ€ฆ

Factors associated with urgent start peritoneal dialysis (PD) catheter complications in ESKD ca. 2020 from @KIReports #Nephpearls
๐Ÿ‘‰๐Ÿผ kireports.org/article/S2468-โ€ฆ

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