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26 Jun 2021

Peritoneal Dialysis

Aims

Renal patients are a very important part of daily clinical practice. A quarter to a third of all patients in clinic are represented by renal patients. It is therefore very important to decide which one's are an emergency and to react properly in order to establish the correct diagnosis and to start the right treatment in time.

The increasing number of cases for renal diseases in cats and dogs, but also the conditions generating this pathology as secondary impairment (leptospirosis, babesiosis, various poisonings) represent the fundamental need for developing peritoneal dialysis in cats and dogs.

Alongside dialysis, renal patients also need complex medical services (IV adjuvant therapy, enteral nutrition, feeding tubes), hospitalization and continuous assisted care.

Uraemia, renal disease and acute poisoning are just some of the frequently encountered medical conditions in dogs and cats. In acute kidney injury, a fast decrease of glomerular filtrations is determined by renal ischemia or by toxic induced lesions at this level. A fast diagnosis, as well as initiating a treatment course such as peritoneal dialysis may lead to a full recovery.

Chronic kidney disease is the result of long term nephropathy (glomerulonephritis or pyelonephritis) that involves the irreversible reduction of active nephrons, compensated by nephron hypertrophy, which involves the drastic loss of glomerular filtrations. This condition develops progressively until anuria in the final stage. With chronic kidney disease, peritoneal dialysis aims to amend clinical symptoms and to improve the patient’s quality of life.

Peritoneal dialysis has become a widely used technique in removing toxins (endogenous and exogenous) that can be dialyzed, both in chronic and acute renal patients. With possibilities for use in the veterinary field nowadays and considering the future development of veterinary medicine, peritoneal dialysis occupies an important place in renal disease therapy in dogs and cats, especially in the case of older animals and patients weighing up to 10 kg, that cannot withstand haemodialysis because of insufficient body mass or because of the underlying cardiopulmonary pathology.

In order to participate fully in this course, delegates should be familiar with the general guidelines of blood biochemistry and haematology and a basic of surgery.

Objectives

Objectives

  • Understand the principles of peritoneal dialysis.
  • Appreciate the different peritoneal catheter types.
  • Devise an approach to peritoneal catheter placement, suture and care
  • Appreciate omentectomy – the surgical technique
  • Formulate an understanding of peritoneal dialysis fluids
  • Understand the fluid exchange procedure
  • Apply diagnostic techniques to monitoring the peritoneal dialysis patient including problems and complications

Summary

Day 1:

The first day will cover the theory behind peritoneal dialysis with the description of the mechanism and the techniques.

Day 2:

Delegates will spend the second day working on cadavers to perfect their technique of peritoneal dialysis, including the placement of the catheter, the catheter care techniques and the volumes of dialysate.

DAY 1

9:30 – 10:30 - Peritoneal dialysis, principles and techniques – intro and basics

10:30 – 10:45 - Break

11:15 – 12:00 - Peritoneal dialysis – catheters and fluids

12:00 - 12:45 - Peritoneal dialysis – volumes

12:40 – 13:30 - Lunch

13:30 – 14:45 - Peritoneal dialysis – Monitoring the PD patient, problems and complications

14:45 – 15:00 - Break

15:15 – 16:45 - Peritoneal dialysis, case presentation

16:45 – 17:15 - Peritoneal dialysis, case presentation

Day 2

09:00 – 11:00 - Peritoneal dialysis, "hands-on", individual work under guidance

11:00 – 11:15 - Break

11:30 – 13:00 -Peritoneal dialysis, "hands-on", individual work under guidance

13:00-14:00 - Lunch

14:00 – 15:30 - Peritoneal dialysis, "hands-on", individual work under guidance

15:30 – 15:45 - Break

15:45 – 17:00 - Peritoneal dialysis, "hands-on", what have we learned today?

Key information

Peritoneal Dialysis
26 Jun 2021
27 Jun 2021
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2 Day Course
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Day 1
09:00 Registration
09:30 Course starts
17:00 Course finishes
Day 2
08:30 Registration
09:00 Course starts
16:30 Course finishes
12 CPD hours
Not Set
£1,299.00 + VAT