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Doctor insights on: Peritoneal Dialysis Catheter Placement Cpt

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Dr. Fred McCurdy Dr. McCurdy
Pediatrics - Nephrology & Dialysis
41 years in practice
University of Nebraska College of Medicine
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What exactly is peritoneal dialysis catheter manipulation?

What exactly is peritoneal dialysis catheter manipulation?

PD Catheters: This is a procedure that is used to get a malfunctioning catheter to work again. There are many different ways this is done - putting a wire down the catheter or putting other devices down the catheter. Ask you doctor for a more thorough explanation.

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Dr. Raj Singh
384 Doctors shared insights

Peritoneal Dialysis (Definition)

One of the options for treatment of end stage kidney disease, the other options are hemodialysis and kidney transplantation. In peritoneal dialysis a tube is placed surgically in the belly. One end is in the peritoneal cavity and the other end is outside. Dialysis fluid is placed in the peritoneal cavity through the tube. The peritoneum acts as a filter, and drained ...Read more


Dr. Tarek Naguib Dr. Naguib
Internal Medicine - Nephrology & Dialysis
36 years in practice
University of Cairo Faculty of Medicine
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When can I expect my peritoneal dialysis catheter be removed?

When can I expect my peritoneal dialysis catheter be removed?

When infection occur: Peritoneal catheter can serve for long years unless a resistant infection develops or open abdominal surgery is needed.

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Dr. Amitabh Gautam Dr. Gautam
Surgery - Transplant
38 years in practice
University of Delhi, Maulana Azad Medical College
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Dr. Norman Chideckel Dr. Chideckel
Surgery - Vascular
38 years in practice
State University of New York Downstate Medical Center College of Medicine
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Dr. Quresh Khairullah Dr. Khairullah
Internal Medicine - Nephrology & Dialysis
38 years in practice
University of Mumbai, Lokmanya Tilak Municipal Medical College
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Is there anything that can protect the catheter site during peritoneal dialysis?

Yes: Keep it covered and without tension on the exit site, and use a antibacterial cream recommended by your nephrologist. Contact your nurse if you notice any redness or discharge.

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Dr. Tarek Naguib Dr. Naguib
Internal Medicine - Nephrology & Dialysis
36 years in practice
University of Cairo Faculty of Medicine
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Do I need to be very careful in catheter care during peritoneal dialysis?

Definitely: Infection tracking to the inside of the abdomen is not only very painful but will limit the life of the procedure. A resistant infection could lead to removing the tube and just using hemodialysis procedure instead.

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Dr. Addagada Rao Dr. Rao
Surgery
52 years in practice
Andhra University, Guntur Medical College
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Can I restart peritoneal dialysis after having removed the catheter due to peritonitis, as I've blood clotting, deep vein issues with heamodialysis?

Can I restart peritoneal dialysis after having removed the catheter due to peritonitis, as I've blood clotting, deep vein issues with heamodialysis?

Difficult: After peritonitis, cavity will be obliterated, forms adhesions, loculations, will not allow free inflow and out flow, all the fluid will not return, also have to wait wks or months for pd, renal transplantation is best alternative, .

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Dr. George Klauber Dr. Klauber
Pediatrics - Urology
years in practice
University of London, Royal Free Hospital School of Medicine
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Dr. Eduardo Haddad Dr. Haddad
Internal Medicine - Nephrology & Dialysis
42 years in practice
Federal University of Rio de Janeiro Faculty of Medicine
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What is the definition or description of: dialysis catheter insertion?

What is the definition or description of: dialysis catheter insertion?

See below: A dialysis catheter is a conduit to access either the blood stream or the peritoneal cavity to enable to performance of dialysis. Hemodialysis catheters can be acute or temporary or chronic and in that case tunnelled under the skin. Peritoneal catheters are always tunnelled and enter the abdominal wall. Insertion is done with local anesthesia under ultrasound guidance or surgically.

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Dr. Fred McCurdy Dr. McCurdy
Pediatrics - Nephrology & Dialysis
41 years in practice
University of Nebraska College of Medicine
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Why does a dialysis catheter clog sometimes?

Catheter Clogs: Causes of intermittent peritoneal dialysis catheter malfunction are: 1) a tissue called the omentum has wrapped itself around the catheter; 2) the catheter openings are up against the bowel; or 3) the catheter openings are against the lining of the abdominal cavity called the peritoneum. One added reason that really is serious is impending infection. Need to talk with your dr. About this.

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Dr. Rex Mahnensmith Dr. Mahnensmith
Internal Medicine
40 years in practice
Yale University School of Medicine
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I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

I've been on peritoneal dialysis for two years. I'm now noticing that I'm urinating s lot less than before. Should this be a cause of concern, ?

Loss of urine: This is average, actually, for a person on peritoneal dialysis. Over about 5-8 months, a person receiving hemodialysis loses urine production. A person receiving peritoneal dialysis typically retains urine flow for 1-2 years, sometimes longer. Loss of urine flow diminishes native kidney clearances, so your diet will have to be stricter and your nurse/doctor may have to raise dialysis bags/day.

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Dr. Raj Singh Dr. Singh
Internal Medicine - Nephrology & Dialysis
7 years in practice
University of Nevada School of Medicine
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Does it hurt to get a peritoneal dialysis done?

Does it hurt to get a peritoneal dialysis done?

Not usually: Placing a catheter to start peritoneal dialysis catheter may involve some discomfort in the postoperative period which may last a few days. Peritoneal dialysis involves filling the abdominal cavity with water like solution to remove bodily toxins. Overall peritoneal dialysis is virtually painless if done properly.

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Dr. Stephen Chinn Dr. Chinn
Urology
34 years in practice
University of Hawaii John A. Burns School of Medicine
14
Dr. Adrian Baudy IV Dr. Baudy IV
Internal Medicine - Nephrology & Dialysis
8 years in practice
The Wright State University Boonshoft School of Medicine
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Intermittent peritoneal dialysis cpt code?

90945 and 90947: 90945*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single physician evaluation 90947*—dialysis other than hemodialysis (e.g., peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated physician evaluations, with or without substantial revision of dialysis prescript.

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Dr. Fred McCurdy Dr. McCurdy
Pediatrics - Nephrology & Dialysis
41 years in practice
University of Nebraska College of Medicine
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How long is continuous ambulatory peritoneal dialysis continued?

CAPD Duration: It continues until there is no longer a need for dialysis. Here is an excellent resource for you to read on the internet: http://kidney. Niddk. Nih. Gov/kudiseases/pubs/peritoneal/.

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Dr. Fateh Entabi Dr. Entabi
Surgery
9 years in practice
University of Damascus
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Can you have peritoneal dialysis if you also have a urostomy bag?

Yes: It can certainly be done if you have the right person to place the catheter. I will be happy to help you with that.

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Dr. Tarek Naguib Dr. Naguib
Internal Medicine - Nephrology & Dialysis
36 years in practice
University of Cairo Faculty of Medicine
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Home peritoneal dialysis vs center hemodialysis, which one is safer?

Home peritoneal dialysis vs center hemodialysis, which one is safer?

Depends on patient: In capable patients the peritoneal does not only provide for a better quality of life but also is safer. But in patients who are not likely to follow the rules well due to older age, dementia, poor manual dexterity etc, in-center dialysis is safer.

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Dr. Sreya Pallath Dr. Pallath
Internal Medicine - Nephrology & Dialysis
18 years in practice
Rush Medical College
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What diet changes should I make while I am doing peritoneal dialysis?

What diet changes should I make while I am doing peritoneal dialysis?

Low phosphorus: People on dialysis generally need to limit salt intake to avoid swelling. Also you may need to avoid foods high in phosphorus and potassium. Examples of phosphorus rich foods include dairy products, chocolate, dark colored colas. Examples of high potassium foods include oranges, orange juice, bananas.

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Dr. Sarah Kohl Dr. Kohl
Travel Medicine
31 years in practice
Jefferson Medical College of Thomas Jefferson University
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What are some things peritoneal dialysis patients should know about traveling?

It can be done!: Patients on either hemodialysis or peritoneal dialysis can travel the world with advance planning. You will need to work with your home dialysis center to travel with enough supplies or be able to get them at your destination. You will want to be current with your vaccinations and have a plan in case you become ill while traveling. Make sure you plan for possible delays while traveling.

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Dr. Quresh Khairullah
515 Doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


Catheter (Definition)

A catheter is a thin plastic tube that is inserted into the body to obtain fluids/blood or give medicine. So some catheters can be placed in the veins and medicine given directly into the body, IV fluids given or blood sampled. A catheter can be placed in the bladder ...Read more