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Key features

Volume Control — Three steps for better volume control

volume control Steps

Assess status and trend

BCM-Body Composition Monitor

Routinely assess fluid status

The easy-to-use BCM-Body Composition Monitor is a powerful addition to the routine evaluation of your patients and is becoming a standard in leading PD centers.

By providing you with a more precise picture of actual fluid status through quantified overhydration, this state-of-the-art technology helps you manage the fluid status of your patients better.

Analyze the fluid status trend

The BCM-Body Composition Monitor can be used effectively to continually monitor changes and trend of the fluid status over time. Trend analysis can provide important feedback and guidance on therapy decision-making by you and your staff.1

Volume status improvement as a result of awareness2

Bcm Charts
Group1: Patients and their primary nurses were informed of their hydration status Both graphs adapted from original publication.
Bcm Charts
Group 2: Patients and their primary nurses were not informed of their hydration status

Evaluate fluid intake first

In the evaluation of the causes of fluid imbalance, screening for reversible causes first, is imperative. Any improvement in intake compliance facilitates the overall correction of fluid imbalance.

Use the power of awareness for better patient compliance. P3 Volume Control recommends an approach that is easy for your staff and even easier for your patients.

Improve fluid intake compliance

A randomized controlled study with the BCM-Body Composition Monitor showed conclusive results. Within three months of follow-up, patients who had knowledge of their fluid status, provided by the BCM-Body Composition Monitor, attained significantly better volume control. As a result, instances of overhydration decreased simply by raising patient awareness.2

Optimize output

Adapted PD promotes both the process of UF and clearance

Higher UF3

Comparison 45 days Chart Ultrafiltration
APD–C: Conventional APD
APD-A: Adapted APD Both graphs adapted from original publication

Higher sodium removal3

Comparison 45 days Chart sodium removal
APD–C: ConventionalAPD
APD-A: Adapted APD

Adapted PD

By combining sequences of short dwell times and small fill volumes with long dwell times and large fill volumes, adapted PD promotes both the process of UF and clearance, at no additional time and cost, while reducing glucose absorption over the dialysis session.3

Maintain RRF and UF capacity to maximize output

RRF is important for fluid removal. Studies confirm that RRF can be preserved longer in patients using ultra-low GDP PD fluids compared to conventional PD fluids.4,5

Ultra-low GDP PD fluids can also help to reduce the deleterious effects of chronic exposure to the peritoneal membrane and to preserve the membrane function longer.6,7,8

Maintaining RRF is important for urine output and regulation of fluid status, thus the use of ultra-low GDP fluids can be an important part of your patient’s fluid management.


EuroBCM Study maintaining euvolemia in PD

EuroBCM Study results1

Out of 639 patients from 28 centers in 6 countries:

  • 40% were normohydrated
  • 7% were dehydrated
  • 53% were overhydrated

Important factors to consider in fluid status:

  • UF alone can be misleading in evaluating patients’ fluid status
  • Fluid status is mainly the result of the balance of intake and output over time. To improve a patient’s fluid status, both sides should be controlled in order to determine the fluid status trend
  • Blood pressure can be a misleading parameter to evaluate fluid status and can prompt false therapy decisions

Fluid status is mainly the result of the balance of intake and output over time

Fluid Status balance