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March 1981

Continuous Ambulatory Peritoneal Dialysis: A Preliminary Pediatric Experience

Am J Dis Child. 1981;135(3):270-271. doi:10.1001/archpedi.1981.02130270062020

Continuous ambulatory peritoneal dialysis (CAPD) was first conceived in 1976,1 and its clinical application was demonstrated in an adult population by Popovich et al in 1978.2 Alexander et al3 reported results of a small series of children treated with CAPD in 1980. This is a form of home dialysis. A permanent catheter is surgically implanted into the peritoneal cavity. As opposed to chronic intermittent peritoneal dialysis, the dialysate is continuously present in the peritoneal cavity. In the usual form of peritoneal dialysis, dialysate is allowed to dwell only 20 to 40 minutes. In CAPD, dwell times are four to eight hours. This means only four or five exchanges are done per day. Because of the limited number, the exchanges can be done manually, at home, without expensive equipment. The CAPD system has been evaluated at Birmingham (Ala) Children's Hospital during the past year. We report our preliminary