Mar 26 2024
March 26, 2024

Grand Rounds in Pediatric Nephrology – an ISN-IPNA Sister Centers initiative: Peritoneal Dialysis in low resource settings – pearls and pitfalls

  • 2:00 PM CET

Explore the intricacies of Peritoneal Dialysis in resource-limited settings through an insightful session titled “Peritoneal Dialysis in low resource settings – pearls and pitfalls.” Delve into the nuances of Acute Peritoneal Dialysis (PD) with a comprehensive overview, specifically focusing on pediatric Acute Kidney Injury (AKI). The session includes a compelling case study on Haemolytic Uraemic Syndrome presented by Handsome Deksiso, followed by expert insights into the pearls of Acute PD shared by Mignon McCulloch.

Additionally, the discussion extends to the practical aspects of using acute PD catheters, including insights into locally made fluid. Explore troubleshooting techniques and gain valuable knowledge on Continuous Flow PD (CFPD) led by Peter Nourse. The session addresses common catheter issues, providing a platform to discuss essential concepts related to CFPD. Join us as we navigate through the challenges and best practices associated with Peritoneal Dialysis in settings with limited resources.

Learning objectives:


  • Understand the indications and techniques for implementing Acute Peritoneal Dialysis (PD) in the context of Acute Kidney Injury (AKI).
  • Gain insights into the different types and applications of Acute PD catheters.
  • Explore improvisation strategies for situations where there is a lack of available fluid and catheters for Acute PD.
  • Acquire troubleshooting skills specific to Peritoneal Dialysis in the context of AKI, addressing common challenges and complications.
  • Explore the principles and applications of Continuous Flow Peritoneal Dialysis, understanding its role and significance in clinical practice.

Further reading:

  1. Nourse P, Cullis B, Finkelstein F, Numanoglu A, Warady B, Antwi S, McCulloch M. ISPD guidelines for peritoneal dialysis in acute kidney injury: 2020 Update (paediatrics). Perit Dial Int. 2021 Mar;41(2):139-157. doi: 10.1177/0896860820982120. Epub 2021 Feb 1. PMID: 33523772. 


Rukshana Shroff (UK)


Mignon McCulloch (South Africa)

Peter Nourse (South Africa)

Handsome Deksiso (South Africa)