CAPD
Also written as: CAPD — Continuous Ambulatory Peritoneal Dialysis
Continuous ambulatory peritoneal dialysis, a form of peritoneal dialysis with manual exchanges performed throughout the day by the patient or caregiver.
Full Definition
Continuous ambulatory peritoneal dialysis (CAPD) is a form of peritoneal dialysis that involves manual exchanges of dialysate performed 3-4 times daily without the use of automated equipment. In pediatric nephrology, CAPD requires careful training of parents or caregivers in sterile exchange techniques, as young children cannot perform the procedure independently. Each exchange involves draining the previous dialysate, instilling fresh solution, and allowing it to dwell in the peritoneal cavity for 4-6 hours. The technique provides continuous clearance of toxins and fluid removal, making it suitable for children with residual renal function. CAPD offers flexibility in lifestyle but requires strict adherence to sterile technique to prevent peritonitis, the most common complication.
Usage
Usage note: Distinguish from CCPD (continuous cycling PD) which uses automated exchanges; CAPD is manual.
In Context
- "The family was trained in CAPD technique with four daily exchanges using 2.5% dextrose solution." — Dialysis training documentation
- "CAPD was discontinued due to recurrent peritonitis and the patient was transitioned to hemodialysis." — Treatment modification note