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Pediatric peritoneal dialysis

Peritoneal Dialysis — child with

Less invasive therapy for a more normal life

  • Bridges time to transplantation
  • Easy to perform
  • Less invasive than extracorporeal treatments
  • Does not require anticoagulation

Peritoneal dialysis (PD) is in general the preferred treatment modality for paediatric patients to bridge the time until transplantation. It is easier to perform, less invasive than extracorporeal treatments and does not require anticoagulation.

However, what counts most for the child and the family is that PD can be carried out at home. PD is more compatible with a “normal” lifestyle and allows a better psychosocial integration of the little patient.

Fresenius Medical Care offers a comprehensive range of therapy systems adapted to the specific requirements of PD in paediatric patients:

  • PD-Paed Plus
  • sleep•safe
  • balance
  • BCM-Body Composition Monitor

PD-Paed Plus — PD in the smallest patients

Easy-to-use preassembled system  PD-Paed Plus is designed to perform PD manually in premature babies, neonates and infants. It is an easy-to-use preassembled system for in-center use.
Flexible treatment adaptation  
  • Capacity for inflow volumes of up to 240 mL
  • Precise fluid balancing with the combination of an inflow and outflow burette
  • Option to connect two fluid bags at the same time
Safety features give confidence  
  • An integrated ball valve in the inflow burette ensures that only the prescribed volume is given to the patient
  • Improved therapeutic efficiency with a low recirculation volume of only 2 ml
  • Our patented PIN technology reduces the number of risk steps associated with disconnection and reconnection1
  • DEHP-free materials ensure biocompatibility

Pre-warmed PD fluid helps to prevent tachycardia and hypotension2:

PD-Paed Plus and the Barkey Warming System XPT are perfectly matched to manage PD fluid temperature efficiently.

sleep•safe – Free days and protected overnight dialysis

PD in the smallest patients
Father sitting with son on hospital bed

Treatments tailored to young patients

sleep•safe is a reliable and popular device to treat children on automated PD, in general during the night time at home. It stands out for its flexibility to tailor a treatment according to the individual needs of the patient:
Adjustable flow rates for low volume treatments
Special paediatric disposable set for low volumes
Option to perform ‘Adapted APD (aAPD)’ to improve patient outcome by varying dwell time, and fill volume and glucose concentration in one treatment3
Fresenius Biofine® and Nordic Ecolabel logo
All sleep•safe disposables are made of Biofine®, a PVC-free material certified with the Nordic Ecolabel.

sleep•safe is a popular cycler in children of all ages4:

Giving parents the confidence in the treatment and its comfort

Integrated continuous pressure monitoring helps to prevent outflow pain
Quiet operation
Automatic bag connection and PIN technology reduce contamination risk steps to one per day

balance – Biocompatible PD fluids

Experts recommend that biocompatible multi-chambered PD fluids which are low in glucose degradation products (GDP) should become the standard of care for children on PD6. Children dialyzed with biocompatible PD fluid show significant catch-up growth when compared to children on conventional solutions5.

The concentration of glucose degradation products (GDPs) differs considerably. balance show lowest levels of GDPs compared to other biocompatible PD fluids10.

Easy treatment optimization

Biocompatible fluids are essential for growth

Biocompatible PD fluids are not all the same

BCM-Body Composition Monitor – Easy treatment optimization

Is the child thriving or fluid overloaded?

Especially in children on dialysis it is not always easy to differentiate between a gain in weight because of growth or because of fluid overload.

 This is where the BCM-Body Composition Monitor helps you to assess the individual hydration and nutritional status of your patient. The device is based on bioimpedance spectroscopy and gives you a clear picture over time of the child’s fluid status and how the lean and fat tissue mass have developed.

  • Accurate and highly reproducible data
  • Based on typical pediatric reference ranges11
  • Easy to apply and non-invasive
  • Validated for children with a body weight of ≥10 kg
  • Easy analysis of data with the Fluid Management Tool (FMT) on a personal computer 

Learn more about the Body Composition Monitor

Pediatric peritoneal dialysis balance

Abbreviated Prescribing Information for balance and bicaVera®

PDF, 44.7 KB