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.