European Society of Medicine - Acute Peritoneal Dialysis with Percutaneous Catheter Insertion for COVID-19-associated Acute Kidney Injury in Intensive Care: Experience from a UK Tertiary Centre

By Dr. Elaine Bowes, Kings College Hospital NHS Trust London Abstract: Results :37 / 44 successful catheter insertions and commenced PD 5 unsuccessful due to abdominal obesity / failure to reach peritoneum using 50mm needle 1 abandoned due to complication from omental obstruction 1 abandoned due to suspicion of needle puncture of the bowel; retried on following day as pt stable but unable to advance guidewire No cases of bladder injury, haemorrhage, or catheter-associated leaks 27/37 (73%) were receiving PD at the time of their renal recovery or death 10/37 (27%) were switched to CRRT or HD without returning to PD 3 rapidly deteriorating from MOF and CRRT felt more appropriate 3 switched due to ICU clinician preference 1 scrotal leak 1 abdominal pain (peritonitis excluded) 1 pulled out tube while delirious 1 planning for proning and team preferred CRRT rather then PD prone trial Also 16 temporary episodes of alternative RRT before returning to PD (median duration 48 hours, IQR 24,72) 8 due to ICU clinician preference 3 due to temporary bowel issues causing poor flows 2 to rapidly reduce urea prior to surgical tracheostomy 1 planning for proning and team preferred CRRT rather then PD prone trial 1 hyperkalaemia 1 acidosis For more details please visit our website https://esmed.org/ and our YouTube channel below https://www.youtube.com/channel/UCp4b1lcWovYNFEKdvat-rQw/ and Twitter feed https://twitter.com/EuropeanSociet2 2021 European Society of Medicine General Assembly Interesting info from past conferences located here https://www.slideshare.net/MOsman14

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