Pulmonary Complications of Peritoneal Dialysis

Gas Exchange in Renal Failure: I--Dangers of Hyperkalaemia during Anaesthesia

“…These findings would be consistant with some degree of basal pulmonary collapse during the presence of dialysate in the abdomen which was reversed when the abdomen was empty. Berlyne (1966) ascribed the infective pulmonary complications of peritoneal dialysis to plugs of mucus being drawn down into the re-expanding pulmonary bases after temporary collapse during abdominal filling. In our own series infective pulmonary complications were not obvious but the rapid reversal of the arterial gas exchanges on emptying the abdomen cannot be accepted as an argument against Berlyne's hypothesis explaining the infective complications.…”

“…Infective pulmonary complications of peritoneal dialysis were well described by Berlyne et al (1966). He concluded that it was preferable to carry out peritoneal dialysis with 1-litre rather than 2-litre cycles to lessen the pulmonary complications.…”

The Lungs in Uraemia: A Review

“…The pulmonary effects of intraperitoneal dialysate were first studied in patients with acute renal failure undergoing dialysis with semi-rigid peritoneal catheters (Berlyne et al 1966). Infection, lower lobe collapse and effusions were common and thought to be due to splinting of the diaphragm and sputum retention in immobile patients.…”

“…Freedman & Maberley (1971) suggested that intra-abdominal dialysate caused airway closure during tidal breathing. It was therefore considered that pre-existing lung disease was a contraindication to peritoneal dialysis (Berlyne et al 1966) and by extrapolation to continuous ambulatory peritoneal dialysis (CAPD) (Lameire et al 1981).…”

Peritoneal Dialysis Today: A New Look

“…Intermittent positive pressure breathing and pulmonary therapy are beneficial therapeuti cally and prophylactically. The suggestion that dialysate exchange volumes be reduced routinely to 1 liter in all patients in order to avoid pulmonary complications [7] is not substantiated by extensive clinical experience, lacks physiological confirmation [46] HD [16,58,59]. Early dialysis, before the BUN level exceeds 100-120 mg%, is generally accepted as favorable to the ultimate outcome, whichever treatment is chosen.…”