peritoneal dialysis

Mechanism: peritoneum as semi-permeable membrane
Indications: pt/carer dexterity
Advantages: fewer s/e, can be done at home (given sufficient dexterity)
Disadvantages: lasts 4-5 years (peritoneal sclerosis)
Access: peritoneal catheter
Complications: PD peritonitis - from skin commensals (Mx: gent, ceftazidime into port)