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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

sleep•safe – Free days and protected overnight dialysis

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

bicaVera® and 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 PD5. Children dialyzed with biocom¬patible PD fluid show significant catch-up growth when compared to children on conventional solutions6.

The concentration of glucose degradation products (GDPs) differs considerably. balance show lowest levels of GDPs compared to other biocompatible PD fluids7.

Easy treatment optimization

For children we particularly recommend bicaVera®

Less infusion pain

BCM-Body Composition Monitor – Easy treatment optimization

Is the child thriving or fluid overloaded?

Chart of body composition development and blood pressure
Course of body composition and blood pressure over 10 months in a 2-year old PD patient

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

Abbreviated Prescribing Information

Abbreviated Prescribing Information for balance and bicaVera®

PDF , 44.7 KB

Abbreviated Prescribing Information for balance and bicaVera®

PDF , 44.7 KB

Abbreviated Prescribing Information for balance and bicaVera®

PDF , 44.7 KB

Related content

1 Fresenius Medical Care internal analysis
2 Warady BA, Morgenstern BZ, Alexander SR. Peritoneal Dialysis. In: Pediatric Nephrology by Avner ED et al. Publishers Lippincott Williams & Wilkins; 5th edition, page 1375-94
3 Fischbach M, Issad B, Dubois V, Taamma R. The beneficial influence on the effectiveness of automated peritoneal dialysis of varying the dwell time (short/long) and fill volume (small/large): randomized controlled trial. Peritoneal Dialysis International 2011; 31(4):450-8.
4 Registry data from the International Pediatric Peritoneal Dialysis Network (IPPN) 2007–2012 (unpublished).
5 Schmitt CP, Bakkaloglu SA, Klaus G, Schroeder C, Fischbach M: Solutions for peritoneal dialysis in children: recommendations by the European Pediatric Dialysis Working Group. Pediatric Nephrology  2011; 26(7):1137–47.
6 Rees L, Azocar M, Borzych D, Watson AR, Büscher A, Edefonti A, Bilge I, Askenazi D, Leozappa G, Gonzales C, van Hoeck K, Secker D, Zurowska A, Rönnholm K, Bouts AHM, Stewart H, Ariceta G, Ranchin B, Warady BA, and Schaefer F, for the International Pediatric Peritoneal Dialysis Network (IPPN) registry. Growth in very young children undergoing chronic peritoneal dialysis. Journal of the American Society of Nephrology 2011; 22: 2303–2312.
7 Himmele R, Jensen L, Fenn D, Ho C, Sawin D, Diaz–Buxo J. A new neutral-pH low-GDP peritoneal dialysis fluid. Peritoneal Dialysis International 2012;32(4):444-52.
8 Feriani M, Kirchgessner J, La Greca G, Passlick-Deetjen J. Randomized long-term evaluation of bicarbonate-buffered CAPD solution. Kidney International 1998;54(5):1731-8.
9 Haas S, Schmitt CP, Arbeiter K, Bonzel KE, Fischbach M, John U, Pieper AK, Schaub TP, Passlick-Deetjen J, Mehls O, Schaefer F: Improved acidosis correction and recovery of mesothelial cell mass with neutral-pH bicarbonate dialysis solution among children undergoing automated peritoneal dialysis. Journal of the American Society of Nephrology 2003;14:2632–38.
10 Mortier S, De Vriese AS, Van de Voorde J, Schaub TP, Passlick-Deetjen J, Lameire NH. Hemodynamic effects of peritoneal dialysis solutions on the rat peritoneal membrane: role of acidity, buffer choice, glucose concentration, and glucose degradation products. J Am Soc Nephrol 2002;13(2):480-9. Erratum in: Journal of the American Society of Nephrology 2002;13(5):1419-22.
11 Wieskotten S, Knobloch V, Wiemann K, Wabel P, Wühl E, Schäfer F. Use of the BCM—body composition monitor in children – establishing new reference ranges. Pediatric Nephrology 2008; 23:1571–719.