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Perit Dial Int 13(Suppl_2): 95-97 1993
© 1993 International Society for Peritoneal Dialysis
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Peritoneal Dialysis International, Vol 13, Issue Suppl_2, S95-S97
Copyright © 1993 by International Society for Peritoneal Dialysis

Articles

The use of alternative peritoneal dialysis solutions in pediatric patients

JW Balfe and I Qamar

Division of Nephrology, Hospital for Sick Children, University of Toronto, Ontario, Canada.

Changes in the formulation of peritoneal dialysis solutions will continue. For the present, dextrose dialysis will remain the osmotic solute of choice. How amino acids and glucose polymers as solute replacements for glucose fit into the dialysis prescription remains to be seen. The lower concentration of calcium and magnesium appears to be gaining acceptance in many centers. It is feasible that in the next few years the challenge of adding bicarbonate to the peritoneal dialysis solution will be circumvented, because there appears to be a real clinical need for such an improvement. Pediatric modifications will be necessary, appreciating that such changes will have an economic penalty, and thus must have proven value.






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