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. 2019 Jan 4;9:1830. doi: 10.3389/fphys.2018.01830

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Copyright © 2019 Wojtaszek, Grzejszczak, Grygiel, Małyszko and Matuszkiewicz-Rowińska.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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PD urgent–start program realized in our nephrology unit. Every late referral patient is quickly but carefully evaluated. Those who have no contradictions to PD and give an informed consent for PD as a bridge to final therapy choice are qualified to the program. The patients with life-threatening clinical symptoms like: pulmonary edema, severe hyperkalemia or acidosis, are given 1–3 short HD treatments via acute femoral catheter, before peritoneal access creation. The peritoneal catheter is introduced by a surgeon from our team, and the low-volume 8–12 night hours APD is started, with concomitant RRT education program for the patient and his family. If – after receiving sufficient information – the patients decide to remain on PD, the PD training is started, while in case when he/she considers HD as a more suitable RRT option – a arteriovenous fistula is created and PD continued until matured.