PERITONEAL DIALYSIS
Peritoneal Dialysis (PD) is another home treatment choice offered by Lower Manhattan Dialysis.
Unlike home hemodialysis, PD does not require a partner. Peritoneal Dialysis uses the peritoneal membrane,
which is the lining inside your abdominal wall, as the filter to remove toxins from your blood.
A catheter is used to fill your abdominal cavity with warmed dialysis fluid.
This fluid stays in your abdominal cavity for 4-6 hours, during which time excess water and toxins
get absorbed from your blood, and then the fluid is drained. Before you start PD treatments at home,
you will be trained by the home dialysis nurse. Training generally takes 1-2 weeks to complete,
after which you will only need to return to the dialysis center once a month for a check-up visit with the Home Dialysis Team.
There are 2 types of PD:
Continuous Ambulatory Peritoneal Dialysis (CAPD)
and
Continuous Cycling Peritoneal Dialysis (CCPD)
CAPD involves exchanging dialysis fluid in and out of your abdominal cavity 4-5 times during the course of the day. It does not require any machines.
CCPD uses a small machine called a cycler. Most of your exchanges will be done at night, by the cycler, which will free up your day.
CCPD is also called Automated Peritoneal Dialysis (APD).
Both CAPD and CCPD allow you to be independent and remain in control of your own treatments.
Treatment times are flexible,  and you will have
the freedom of performing your PD exchanges almost anywhere you like – you can even travel!
 There are fewer dietary restrictions and fluid
limitations than on conventional hemodialysis, and patients generally feel more energetic. Most of our PD patients
continue to work full-time. In addition, both forms of PD use no needles, and PD avoids the “washed-out” feeling that
conventional hemodialysis patients often experience after a dialysis session.
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