| Theme |
Outcomes of peritoneal dialysis treatment during the past half-century |
| Title |
Peritoneal dialysis in times of major disaster |
| Author |
Hironobu Inoue |
Department of Nephrology and Urology, Saiseikai Kumamoto Hospital |
| Author |
Hidehisa Soejima |
Department of Integrative Medicine, Social Welfare Organization Imperial Gift Foundation, Inc. Saiseikai Kumamoto Hospital |
| [ Summary ] |
In 2016, there were two major earthquakes in Kumamoto, and we re-recognized that continuous ambulatory peritoneal dialysis (CAPD) had excellent cure and care advantages compared to hemodialysis (HD). To leverage these advantages, we must educate CAPD patients about the importance of disaster countermeasures and communicate this information properly after a disaster. Information about disasters must be concrete and clear. The situation-background-assessment-recommendation approach is an effective and excellent method for sharing information.If CAPD patients evacuate from a disaster area, transportation and information systems can enable them to continue CAPD. In addition, even when the patient is unable to continue CAPD in severe circumstances, HD can be provided via internal jugular vein puncture with ultrasonography, a new and simple method that does not require ordinary vascular access.
We must overcome various disasters by using effective information and resources based on the mutual cooperation of patients, medical staff, and the community health system. |