Hybrid dialysis: a promising strategy to reduce hospital access during the SARS-CoV-2 pandemic.
BMJ Case Rep
; 13(10)2020 Oct 07.
Artículo
en Inglés
| MEDLINE | ID: covidwho-841363
ABSTRACT
In March 2020, a 74-year-old man affected by end-stage renal disease and on peritoneal dialysis was referred to an emergency room in Modena, Northern Italy, due to fever and respiratory symptoms. After ruling out COVID-19 infection, a diagnosis of chronic obstructive pulmonary disease exacerbation was confirmed and he was thus transferred to the nephrology division. Physical examination and blood tests revealed a positive fluid balance and insufficient correction of the uraemic syndrome, although peritoneal dialysis prescription was maximised. After discussion with the patient and his family, the staff decided to start hybrid dialysis, consisting of once-weekly in-hospital haemodialysis and home peritoneal dialysis for the remaining days. He was discharged at the end of the antibiotic course, after an internal jugular vein central venous catheter placement and the first haemodialysis session. This strategy allowed improvement of depuration parameters and avoidance of frequent access to the hospital, which is crucial in limiting exposure to SARS-CoV-2 in an endemic setting.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonía Viral
/
Diálisis Renal
/
Diálisis Peritoneal
/
Infecciones por Coronavirus
/
Enfermedad Pulmonar Obstructiva Crónica
/
Pandemias
/
Fallo Renal Crónico
Tipo de estudio:
Reporte de caso
/
Estudios diagnósticos
/
Estudio observacional
/
Estudio pronóstico
Límite:
Anciano
/
Humanos
/
Masculino
Idioma:
Inglés
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Bcr-2020-236411
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