Would you initiate urgent start peritoneal dialysis for a patient with uremic symptoms who plans to pursue long-term hemodialysis but currently lacks an AV access, to avoid using a temporary dialysis catheter until they can obtain a functioning AV access?  

I would not do urgent PD in this patient. If the patient has had education and is known to want to do in-center HD, then I would follow the patient's wishes. Would assume that the patient had a reason not to choose PD to start with.

Interesting question. My answer is no. Although generally I prefer PD, I would not go that route in this case. An AVF could be created now, and it may be ready to use in 2-3 months. Although a PD catheter could potentially be inserted and used even within the next 48 hours, the patient will need ...