Peritoneal Dialysis Services
Gentle, continuous dialysis using the peritoneal membrane. Ideal for hemodynamically unstable patients who cannot tolerate the rapid fluid shifts of hemodialysis.
Why Choose Peritoneal Dialysis
A gentler approach to acute renal replacement therapy
Cardiovascular Stability
Gradual fluid removal minimizes blood pressure fluctuations. Ideal for patients with cardiac compromise or hemodynamic instability.
Continuous Clearance
24-hour toxin removal provides steady metabolic control. Avoids the peaks and valleys of intermittent hemodialysis.
Preserved Residual Function
Gentler on remaining kidney function. Better preservation of urine output compared to hemodialysis in many patients.
Flexible Therapy Options
CAPD for continuous exchanges or APD for overnight cycling. Therapy tailored to patient needs and hospital workflow.
Expert PD Team
Specialized nurses trained in peritoneal dialysis. Nephrologists experienced in acute PD management.
Infection Prevention
Strict sterile technique protocols. Exit site care and peritonitis prevention training for hospital staff.
Clinical Advantages of Peritoneal Dialysis
- Less hemodynamic stress than hemodialysis
- No vascular access required (uses peritoneal catheter)
- Continuous metabolic control
- Lower risk of disequilibrium syndrome
- Suitable for patients with poor vascular access
- Can be performed in less acute care settings
Trusted Partner Since 2008
Over 15 years of experience providing acute dialysis services to hospitals and healthcare facilities across Southern California.
Frequently Asked Questions
When is peritoneal dialysis preferred over hemodialysis?
Peritoneal dialysis is often preferred for hemodynamically unstable patients, those with severe cardiac disease, patients with poor vascular access, and those who cannot tolerate rapid fluid shifts. It's also useful when continuous gradual dialysis is clinically preferred.
How quickly can you start peritoneal dialysis?
After PD catheter placement (which can often be done at bedside or in the OR), dialysis can begin within 24-48 hours. Urgent start PD protocols allow earlier initiation when needed.
Do you provide the PD catheter placement?
Our nephrologists can place PD catheters at the bedside in appropriate candidates. We also coordinate with surgery for laparoscopic placement when indicated.
What about peritonitis risk?
We follow strict sterile technique and CDC guidelines. Our peritonitis rates are well below national benchmarks. We provide comprehensive training for hospital staff.
Can patients transition from PD to hemodialysis if needed?
Absolutely. We can seamlessly transition patients between modalities based on clinical needs. Our team manages both PD and hemodialysis.
Considering Peritoneal Dialysis for Your Patients?
Contact us to discuss whether PD is right for your patient population or to set up acute PD services at your facility.