Table 3.
Dialysis mode decision guide
| Peritoneal Dialysis (PD) preferred | PD not preferred, but possible with added consideration | Contraindicated for CAPD (Continous Ambulatory Peritoneal Dialysis) |
|---|---|---|
| Age 6-16 years | ||
| Cardiovascular disease/hypertension | Large size (obesity) | Malnutrition |
| History of diverticulitis | Multiple abdominal adhesions | |
| Chronic disease like bleeding disorder, multiple myeloma, brittle diabetes, hepatitis B positive, travel demand for flexible diet | Severe low-back pain | Ostomies |
| Hernias | Proteinuria >10g/day | |
| Multiple abdominal surgeries | Severe diabetic gastro paresis | |
| Impaired manual dexterity | Severe hypertriglyceridaemia | |
| Blindness | Advanced COPD | |
| Hiatus hernia with reflux esophagitis | Ascites | |
| Patient with patent Le Veen shunt | ||
| Patient with ventriculo – peritoneal shunt | ||
| Upper limb amputation | ||
| Severe inflammatory bowel disease | ||
| Acute active diverticulitis | ||
| Active ischemic bowel disease | ||
| Abdominal abscess | ||
| Starting dialysis in the 3rd trimester of pregnancy Severe active psychotic disorder |