Heimdialyse

ZUSAMMENFASSUNG

In der Pädiatrie ist die Heimdialyse in Form von Peritonealdialyse seit Langem ein wesentlicher Bestandteil der Behandlung und wird bei der überwiegenden Anzahl, insbesondere bei sehr kleinen Kindern, eingesetzt. Trotz der Risiken, die eine Heimdialysebehandlung beinhaltet, überwiegen die Vorteile. Die Heimhämodialyse hingegen hat aktuell keinen großen Stellenwert in der Behandlung pädiatrischer Dialysepatienten, die Gründe hierfür sind vielfältig. Sie sollte aber in Zukunft mehr Berücksichtigung finden. Der vielfach bewiesene Vorteil der intensivierten Hämodialyse, die im Gegensatz zur Zentrumsdialyse als Heimdialyse logistisch einfacher durchzuführen ist, sollte dazu führen, in Zukunft die Heimdialyseverfahren durch einfacher zu bedienende, kleinere Geräte sowie unterstützende Systeme wie, z. B. Remote-controlled Patientenmanagement-Programme, weiter zu entwickeln.

ABSTRACT

In paediatrics, home dialysis in the form of peritoneal dialysis has long been an essential part of treatment and is used in the vast majority of cases, especially in very young children. Despite the risks involved in home dialysis treatment, the benefits outweigh the risks. Home hemodialysis, on the other hand, is currently not very important in the treatment of pediatric dialysis patients, for a variety of reasons. However, it should be given more consideration in the future. The proven advantage of intensified hemodialysis, which is logistically easier to perform than center dialysis as home dialysis, should lead to the further development of home dialysis procedures in the future with smaller, easier to operate machines and supporting systems such as remote-controlled patient management programs.

Schlüsselwörter

Heimdialyse - Vorteile - Patientenmanagement-Programme

Keywords

Home dialysis - benefits - patient management systems

Publication History

Article published online:
25 February 2021

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