Fresenius Medical Care offers holistic solutions for CAPD and APD patients, which includes supporting patients in preparing for PD with training solutions and the set up.
APD
The prescribing information for Peritoneal Dialysis solutions can be viewed here.
Why automated peritoneal dialysis (APD)?
APD uses a programmable machine, or cycler, that controls the volume, filling, dwell time and drainage of the solution. Thanks to automated dialysis, patients can be dialysed at home, even when sleeping.
As APD is offering more free daytime, it is a PD technique with obvious advantages for patient’s lifestyle. Patients may pursue a job and have more time for personal and family activities.1
Finally, APD cyclers offer a variety of individualisation options for the treatment, allowing you to even better consider the needs of your patient, supporting you to improve patient care.
Getting started with education in APD – The difficult part was making it easier
FMC created training solutions that focus on conveying the information that really matter and offers support in preparing and setting up the treatment.
Our products - Key features of the sleep·safe harmony
sleep·safe harmony offers features aimed at improving patient care. It also provides training support by guiding on-screen animations directly on the device.
Because every patient is different: aAPD – Fischbach et al.2 suggests potential better ultrafiltration and clearance within a 9 hour treatment totalling 12000ml fill volume, in comparison to CAPD, .2
Your patients have a chronic disease in common, but differ in many ways: age, height, weight, stage of illness, residual kidney function etc. These differences have a decision impact on the PD treatment required.
Patients’ needs are different:
Fischbach study supports aAPD2
Fischbach M. et al. conducted a randomised, prospective, cross-over, multicenter study. Nineteen patients were included in the final analysis.
According to Fischbach et al., aAPD offers better results using the same time and resources2
- aAPD is possible without extra fluids or a longer amount of time
- Efficiently uses existing treatment resources: better ultrafiltration and clearance with same 1.5% glucose Peritoneal Dialysis solution, 12000ml fluid volume and 9 hour treatment time compared to conventional APD (cAPD)
Attaining adequacy targets
The aAPD approach was proposed by Fischbach M. et al.2 By combining sequences of short dwells and small fill volumes with long dwells and large fill volumes, aAPD aims to promote UF and clearance within one PD session. The blood purification and UF achieved for every gram of glucose absorbed was higher in aAPD in comparison to cAPD.
The challenges of PD – Reaching adequacy targets
Reaching adequacy targets in PD for both UF and clearance is challenging. Fischbach et al. propose that shorter dwell times and smaller fill volumes promote the process of UF, while longer dwell times and large fill volumes increase solute clearance.2 The proposed strategy may have the potential to improve the two targets within one PD session.
cAPD
aAPD
aAPD
Summary of potential patient benefits as reported by Fischbach et al2
Patient benefits
- Improves ultrafiltration
- Better sodium removal
- Lower blood pressure
- Promotes clearance: urea, creatinine, phosphate
- Reduced metabolic load
Clinical value
- Improved use of existing treatment resources: better ultrafiltration and clearance with same 1.5% glucose Peritoneal Dialysis solution, 12000ml fluid volume and 9 hour treatment time compared to cAPD
APD monitoring and support
Smart digital tools offer convenience for patients and caregivers in the comfort of the patients’ homes.
* The service is not available in all countries. The availability of the service and products must be clarified before planning or booking a vacation.
