The Future of Peritoneal Dialysis

New and emerging technologies are being developed to combat some of the most pressing issues regarding peritoneal dialysis training, delivery, and complication identification. Currently used peritoneal dialysis solutions are high-dextrose concentrated acidic solutions that can cause increased glucose absorption and peritoneal membrane degradation via a combination of pseudohypoxia and inflammation. Supply storage, the portability of the currently available devices, and the reactive approach to peritonitis identification and treatment are amongst the challenges facing peritoneal dialysis providers and patients. Technologic advancement to combat these issues are underway, and it is important that we study them comprehensively prior to widespread implementation. In this work, I discuss some of these advancements and technologies.