Abstract
The problem of acquiring secure peritoneal access encompasses most of the history of peritoneal dialysis. We review the catheters available for children and describe a simple method of insertion of Tenckhoff catheters for acute dialysis. Two series of Tenckhoff catheters inserted in this way are presented and compared with results obtained with trocar- and guidewire-inserted catheters. Tenckhoff catheters inserted as described allow significantly longer periods of dialysis (P<0.02) with significantly fewer problem episodes (P<0.001). We conclude that the use of the Tenckhoff catheter for acute dialysis, when inserted in the way described, confers significant advantages over other catheters and permits secure peritoneal access.
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Lewis, M.A., Nycyk, J.A. Practical peritoneal dialysis — the Tenckhoff catheter in acute renal failure. Pediatr Nephrol 6, 470–475 (1992). https://doi.org/10.1007/BF00874019
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DOI: https://doi.org/10.1007/BF00874019