Peritoneal dialysis: Use beyond kidney failure

Peritoneal dialysis is one of the method of renal replacement therapy, which is known as a less invasive and more cost-effective than other types of dialysis. In recent decades, this method has been used for non-renal indications. Including acute pancreatitis, psoriasis, congestive heart failure, hypothermia and poisoning.Unlike initial studies, recentresearch did not provide clear clinical benefits in using peritoneal dialysis for the treatment of acute pancreatitis and psoriasis, and by developing more effective treatment for these diseases, peritoneal dialysis is not currently indicated for them and is known to be one their historical therapies. However in the case of congestive heart failure, hypothermia and poisoning,it is an effective method.The benefits of peritoneal dialysis for the treatment of systemic congestion in patients with heart failure have been shown in several studies and further studies are underway. Currently, one of the methods for ultrafiltration in patients with resistant heart failure is peritoneal dialysis.One of the treatments of patients with severe hypothermia is core warming that can be achieved withperitoneal dialysis, especially in patients with unstable hemodynamics.Another use of peritoneal dialysis is the removal of harmful substances or the administration of antidote in patients with poisoning. Currently, other studies have also been conducted to assess the benefits of peritoneal dialysis in other diseases that may be potential future indications of peritoneal dialysis including treatment of acute stroke and as an oxygenation modality