Comparison of fast peritoneal equilibration tests with 1.36 and 3.86% dialysis solutions

Blood Purif. 1994;12(2):113-20. doi: 10.1159/000170155.

Abstract

At present dialysis solutions with different glucose concentrations are used for the peritoneal equilibration test (PET) and Fast-PET in peritoneal dialysis (PD). We compared the results of two Fast-PETs, using 1.36 and 3.86% solutions sequentially in 30 patients on PD treatment, to obtain information on peritoneal transport (D/P-4 h) and ultrafiltration rates. Creatinine, phosphorus and urea D/P-4 h in the two Fast-PETs were not statistically different, unlike those for potassium, beta 2-microglobulin and glucose. The creatinine and phosphorus D/P-4 h values in particular proved to be uninfluenced by the different dialysis solutions. The lack of correlation between the two Fast-PET ultrafiltration values confirmed the difficulty in interpreting this parameter, above all in the case of non-homologous Fast-PETs. We obtained useful indications for comparing different Fast-PET results, but were unable to reach a decisive conclusion regarding the best of the two dialysis solutions for this test.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Ascitic Fluid / metabolism*
  • Biological Transport
  • Blood Urea Nitrogen
  • Creatinine / metabolism
  • Female
  • Glucose / pharmacokinetics
  • Hemodialysis Solutions / chemistry
  • Hemodialysis Solutions / pharmacokinetics*
  • Humans
  • Male
  • Middle Aged
  • Osmolar Concentration
  • Peritoneal Dialysis, Continuous Ambulatory*
  • Phosphorus / pharmacokinetics
  • Potassium / pharmacokinetics
  • Ultrafiltration
  • beta 2-Microglobulin / analysis

Substances

  • Hemodialysis Solutions
  • beta 2-Microglobulin
  • Phosphorus
  • Creatinine
  • Glucose
  • Potassium