Are there instances where you may transiently transition a perioperative ESKD on PD inpatient from peritoneal dialysis to hemodialysis if they are likely to receive a large volume of fluid?

Most peritoneal dialysis patients should be able to continue with PD while in the hospital. For patients with acute volume overload, hypertonic dextrose solutions can be used. However, there may be special circumstances where patients on peritoneal dialysis will need a temporary transition to hemodialysis. One such circumstance is the patient undergoing abdominal surgery that disrupts the peritoneal membrane or is undergoing surgical management of a contaminated abdomen. Another circumstance is ...

I typically find that most patients can be managed without interrupting PD. Special circumstances as cited above such as disruption of the PD membrane, severe electrolyte imbalance, surgical trauma causes with severe rhabdomyolysis, and of course PD catheter malfunction are scenaries in which transition to temporary HD are warranted. In most other instances, high concentration PD solutions with/without PO/IV (combo) diuretics typically suffice.