Roberto Dell'Aquila Książki

Even though peritoneal dialysis (PD) is by now well established and its advantages in terms of clinical efficacy, social impact and individual tolerance are acknowledged, it is still underutilized on a global scale. In view of this fact, the publication at hand has two objectives, namely to provide help to identify possible obstacles to a wider application of PD and to advance a project called USS PD: Understanding, Starting and Sustaining Peritoneal Dialysis (initiated by the Department of Nephrology, Dialysis and Transplantation of the St. Bortolo Hospital in Vicenza, Italy). The initial part of this book is thus dedicated to basic principles of PD, as understanding how this technique works is one of the prerequisites to improve the quality of its application and, ultimately, its outcomes. In the second part, in-depth reviews help the physician to identify the benefits and problems involved in a PD program, facilitating the initiation of a new program or the start of new patients on PD. The third part, finally, is dedicated to potential complications and technical solutions designed to solve the problems of the different techniques. This helps physicians to sustain the use of PD after having acquired the know how and the capacity of starting the program. Everyone interested in understanding and implementing PD will highly profit from the papers presented in this publication.

Peritoneal dialysis (PD) is an invaluable tool in the treatment of patients with end-stage renal disease, which does not preclude a renal transplant, but incurs lower costs than other treatment options and represents an alternative when the vascular access is not feasible. Moreover, PD can be integrated in the armamentarium of different therapies and constitutes an important option when logistical or organizational problems are present. The publication on hand gives an account of the most recent studies on PD outcome and adequacy, exploring how different fluids, schedules and techniques may help to determine the most tolerated and effective dialysis for each patient. Novel systems including continuous flow PD are probing new limits of efficiency and performance. Biocompatibility and adequate correction of anemia are also among the issues discussed in this book, giving the reader the opportunity to refresh or expand his knowledge in the field. This publication definitely deserves a place on the desk of those who are engaged in the day-by-day activity of PD.