Intraperitoneal pressure in peritoneal dialysis patients: a need for treatment individualization

Abstract

High-quality and goal-directed peritoneal dialysis (PD) prescription should be provided to all PD patients. Prioritizing patients’ goals is necessary for their quality of life, as it is assessment of volume and nutritional status, anemia and mineral and bone management, or small-solute removal. To optimize the removal of small solutes, and depending on membrane characteristics, the increase in concentration gradient difference or the increase in volume (recruitment of all peritoneal capacities) can be performed. Nevertheless, intraperitoneal volume should be tailored by measuring the intraperitoneal pressure (IPP) to avoid PD associated mechanical complications. In this editorial, a brief review on how IPP can be measured, and its implications are noted.