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Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury

Background: Peritoneal dialysis (PD) has long been a mainstay of acute kidney injury (AKI) management in children of all ages, and it remains the most commonly used modality in low-income regions, where continuous kidney replacement therapy (CKRT) is not widely available. Compared to extracorporeal...

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Main Author: Nourse, Peter
Other Authors: Morrow, Brenda
Format: Thesis
Language:English
English
Published: Department of Paediatrics and Child Health 2026
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access_status_str Open Access
author Nourse, Peter
author2 Morrow, Brenda
author_browse Morrow, Brenda
Nourse, Peter
author_facet Morrow, Brenda
Nourse, Peter
author_sort Nourse, Peter
collection Thesis
description Background: Peritoneal dialysis (PD) has long been a mainstay of acute kidney injury (AKI) management in children of all ages, and it remains the most commonly used modality in low-income regions, where continuous kidney replacement therapy (CKRT) is not widely available. Compared to extracorporeal therapies, PD has lower clearance as well as lower and less precise fluid removal. We previously demonstrated increased ultrafiltration and clearances using continuous flow peritoneal dialysis (CFPD) in children with AKI, however the technique described required expensive high-volume CKRT pumps to circulate fluid, as well as high level technical expertise, limiting its utility in resource-constrained settings. Identifying safe, effective and low-cost techniques for CFPD may improve access to dialysis for children with AKI in low-resource settings.
format Thesis
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institution University of Cape Town (South Africa)
language English
eng
last_indexed 2026-06-10T12:52:28.479Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2026
publishDateRange 2026
publishDateSort 2026
publisher Department of Paediatrics and Child Health
publisherStr Department of Paediatrics and Child Health
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/42622 Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury Nourse, Peter Morrow, Brenda Continuous Flow Peritoneal Dialysis Peritoneal dialysis Acute Kidney Injury Protein removal Glucose absorption Dialysate salt removal Children Background: Peritoneal dialysis (PD) has long been a mainstay of acute kidney injury (AKI) management in children of all ages, and it remains the most commonly used modality in low-income regions, where continuous kidney replacement therapy (CKRT) is not widely available. Compared to extracorporeal therapies, PD has lower clearance as well as lower and less precise fluid removal. We previously demonstrated increased ultrafiltration and clearances using continuous flow peritoneal dialysis (CFPD) in children with AKI, however the technique described required expensive high-volume CKRT pumps to circulate fluid, as well as high level technical expertise, limiting its utility in resource-constrained settings. Identifying safe, effective and low-cost techniques for CFPD may improve access to dialysis for children with AKI in low-resource settings. 2026-01-20T09:30:54Z 2026-01-20T09:30:54Z 2025 2026-01-15T11:01:31Z Thesis / Dissertation Doctoral PhD http://hdl.handle.net/11427/42622 en eng application/pdf Department of Paediatrics and Child Health Faculty of Health Sciences University of Cape Town
spellingShingle Continuous Flow Peritoneal Dialysis
Peritoneal dialysis
Acute Kidney Injury
Protein removal
Glucose absorption
Dialysate salt removal
Children
Nourse, Peter
Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
thesis_degree_str Doctoral
title Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
title_full Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
title_fullStr Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
title_full_unstemmed Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
title_short Gravity assisted continuous flow peritoneal dialysis (CFPD) in children with acute kidney injury
title_sort gravity assisted continuous flow peritoneal dialysis cfpd in children with acute kidney injury
topic Continuous Flow Peritoneal Dialysis
Peritoneal dialysis
Acute Kidney Injury
Protein removal
Glucose absorption
Dialysate salt removal
Children
url http://hdl.handle.net/11427/42622
work_keys_str_mv AT noursepeter gravityassistedcontinuousflowperitonealdialysiscfpdinchildrenwithacutekidneyinjury