Karl D. Nolph, MD
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To the Editor: The position (1) paper on clinical competence in acute peritoneal dialysis urges that bedside techniques for placing peritoneal catheters be practiced in nephrology programs. Like clinicians in many, if not most, larger nephrology programs, we prefer placing soft "chronic" peritoneal catheters rather than the more rigid stylet catheters for treating patients with acute renal failure as discussed elsewhere (2). Briefly, use of such placement avoids repeated abdominal punctures for intermittent therapies, allows greater mobility and comfort during the treatment, permits the use of continuous peritoneal dialysis (even ambulatory in some patients), and eases the transition to chronic
Nolph KD. Placement of Peritoneal Catheters. Ann Intern Med. ;109:989. doi: 10.7326/0003-4819-109-12-989_1
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Published: Ann Intern Med. 1988;109(12):989.
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