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Purpose This research was conducted to determine the effects of dexmedetomidine's addition to ropivacaine on oxidative stress during transversus abdominis plane and rectus blockades in patients with end-stage renal disease undergoing peritoneal dialysis catheter implantation. Patients with ESRD who are receiving PD catheter insertion were randomly divided into two groups, the dexmedetomidine plus ropivacaine group and the ropivacaine group were randomly divided into two groups: the dexmedetomidine plus ropivacaine group and the ropivacaine group. Conclusion The addition of 1 bcg/kg dexmedetomidine to ropivacaine for ultrasound-guided TAP and RS blockades may reduce oxidative stress in patients with ESRD undergoing PD catheter placement.
Source link: https://europepmc.org/article/MED/35771315
We invented a new method of peritoneal dialysis catheter placement using an existing system that was used to insert a percutaneous endoscopic gastrostomy tube. This review included 21 patients who underwent laparoscopic repair of PD catheter between August 2021 and December 2021. Within the seventh postoperative day, all patients will have PD. However, 1 patient had peri-catheter leakage as a result of exit-site infection. The laparoscopic placement PD catheter with percutaneous endoscopic gastrostomy armour was both safe and effective.
Source link: https://europepmc.org/article/MED/35763591
Introduction To prompt onset of PD, early-starting peritoneal dialysis is a novel idea. Materials and methods A retrospective review of 100 patients with PD was retrospectively reviewed. Result In our research, there were 48 patients in the PD1 group and 52 in the PD2 group, and 52 in the PD2 group. Diabetes mellitus in both groups was the most common cause of end-stage kidney disease in both groups. In the PD1 group, early mechanical problems, such as catheter obstruction, catheter leakage, catheter malposition, tip migration, and infectious diseases, were not present in the PD1 group. In the PD1 group, 97. 0% and 96. 2% respectively. An increased risk of catheter failure was not associated with early-start PD. Conclusions An early break-in period of 48 hours is a viable option for ESKD patients without a significantly elevated risk of mechanical or infectious complications.
Source link: https://europepmc.org/article/MED/35758542
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