What are the different options of peritoneal dialysis?

 Peritoneal dialysis can be performed in two ways:

    • Manually
      • CAPD(Continuous Ambulatory Peritoneal Dialysis), typically done during the day
    • Automatically
      • APD (Automated Peritoneal Dialysis) using a machine called a cycler, typically done during the night
Both treatment types are normally done at home. The choice between them depends on the personal likes/dislikes, lifestyle choices and medical conditions.

How is CAPD done?

In CAPD, most exchanges are done during the day.

Typically, four exchanges are done per day:

1. In the morning after waking up
2. Around lunch time
3. Late afternoon or early evening
4. Just before bed time

Each exchange procedure takes about 30 minutes.

Dialysis takes place during the time the PD solution is in the peritoneal cavity.

How is APD done?

In APD most exchanges are done during the night with the help of a machine, called a cycler.

The patient is connected to the cycler which infuses the PD solution through a tubing set for approximately 8–10 hours.

The cycler fills and drains the peritoneal cavity automatically, while the patient is sleeping.

There are different ways to perform APD depending on the lifestyle and medical condition of the patient.

Here are two ways how to perform APD:

  • CCPD (Continuous Cyclic Peritoneal Dialysis)
    • A long daytime dwell and 3–6 night time exchanges are performed with a cycler. Patients have more freedom during the day.
  • PD plus
    • This is an APD modality with one additional exchange during the day time.