Renal Replacement Unit

At Yashoda Hospital, we provide exceptional care to our patients suffering from chronic kidney disease (CKD) and end-stage renal disease (ESRD). We provide our patients home peritoneal dialysis and home haemodialysis that allow them complete convenience to perform these procedures right from their home.

We have an eminent team of kidney transplant specialists, nephrologists, urologists and the technical expertise which help you to live fuller, more active and vibrant lives which go beyond providing the best dialysis care.

Why Choose Yashoda For Renal Replacement Therapy?

When the kidneys are not functioning properly, renal replacement therapy such as dialysis (hemodialysis or peritoneal dialysis) and renal transplant is used to replace the workings of the kidney.

At Yashoda Hospital, our technical staff personally trains patients and their relatives about the uses of dialysis. This approach helps them save time, money and energy spent on travelling to the hospital three times a week. The training process involves everything related to the use of a dialysis machine.

The Yashoda Centre for Renal Sciences & Kidney Transplant arranges all arrangements pertaining to a home peritoneal dialysis and home haemodialysis machine, RO supply and technical staff.

Patients and their relatives are taught to perform haemodialysis at home, usually at night before sleeping, 3 to 7 nights a week, as per the patient's condition. We also provide a technician for dialysis at home. However, the process demands fewer requirements for blood transfusion and fewer restrictions on food and fluid intake from the patient’s end. Generally, there are two types of home dialysis, such as:

• Home Peritoneal Dialysis (PD)
• Home Haemodialysis

What Is Home Peritoneal Dialysis (PD)?

Peritoneal dialysis (PD) is considered as one of the most home dialysis treatment options available so far. PD is a treatment of choice because it fits nicely into the daily lifestyle of the patient and provides a more controlled treatment option. PD can be performed in two ways

• Manually during the day
• Using APD cycler machine at night

The Centre of Renal Sciences and kidney transplant at Yashoda trains thousands of people every year with end-stage renal disease to treat their dialysis at home with PD.

How Home Peritoneal Dialysis (PD) Works?

The working procedure of Home Peritoneal dialysis (PD) involves the use of the lining of your abdomen (belly) instead of needles, where the waste buildup from the blood through a solution known as dialysate is gently removed.

A soft, flexible catheter is surgically placed in the patient’s abdomen using Fluoroscopic Guided Permanent Catheter Placement method. It is one of the most significant ways of placing the catheter as it aids stable initiation and maintenance of PD. A flexible catheter is used to pass dialysate in and out. Though the catheter remains permanently fix inside the abdomen and is taped outside the body, it does not interfere with everyday activities.

 Generally, PD is of two types:

• Continuous Cycling Peritoneal Dialysis (CCPD): It automates the process of filling and draining dialysate using a cycler machine.
• Continuous Ambulatory Peritoneal Dialysis (CAPD): A patient can perform dialysis exchanges manually without using a machine.

How We Help You To Make Your Home Peritoneal Dialysis (PD) Successful?

• Patients will receive a detailed training at the Yashoda Centre of Renal Sciences and kidney transplant to make them feel comfortable doing PD on their own, with proper catheter care.
• We make you feel comfortable with the feeling of fluid in your belly.
• Doctors at Yashoda offer specific precautionary guidelines that help the patient avoid the risk of an infection called peritonitis.
• A doctor adjusts the dose of insulin, keeping in mind the current medical conditions of the patient.
• A nephrologist will prescribe standard treatment for the patient.
• We offer ultimate outpatient care, and every patient is asked to visit the concerned doctor once or twice a month for check-ins.

The Time Required To Do Home Peritoneal Dialysis

PD is a continuous process throughout the day; therefore, a patient has to give its treatment (draining or filling) time.

• If a patient chose Continuous ambulatory peritoneal dialysis (CAPD)
• Draining takes 10-15 minutes
• Filling takes 20 minutes
• If a patient chose Continuous Cycling Peritoneal Dialysis (CCPD)
• The treatment takes 3 hours a week for prepping and cleaning supplies
• Treatment is done while the patient is sleeping

What Is Home Haemodialysis?

This process is performed to treat people suffering from kidney failure, which is also termed as an end-stage renal disease (ESRD). Kidney failure is a stage 5 chronic kidney disease (CKD) that arises due to the inability of a kidney to perform its function of purifying the blood. Home Haemodialysis is an artificial way of purifying blood using a machine and helps to improve the rate of survival and quality of life.

How Does Home Haemodialysis Work?

In this process of home Haemodialysis, the patient’s blood is filtered outside of its body through an artificial kidney often known as a dialyser. It helps in removing the unwanted waste, toxins and excess fluids from the blood using a solution called dialysate. The clean and chemically balanced blood is then returned to the patient’s body. Generally, there are two types of home Haemodialysis:

• Short Daily Home Haemodialysis: Usually perform only five to six times a week. Each session requires a time of two to three hours.
• Traditional Home Haemodialysis: It is very similar to in-centre Haemodialysis and is performed three times a week for four hours per session. However, the patient has an option of dialysing more frequently to achieve the desired clinical results.

How We Help You To Make Your Home Haemodialysis Successful?

• A patient and its care partner (a family member or friend) will receive 4 to 8 weeks of training on how to use the Home Haemodialysis successfully at home. Taking a partner along is a patient’s personal choice.
• Your care partner needs to be dependable. He/she should commit to either participating in the process of home Haemodialysis treatments or available with the patient to monitor the process.
• A treatment set up requires cleaning up afterwards; trainers at Yashoda train the patient partner for the whole process from start to end.
• Make sure to create a space at home for storing supplies and equipment used in home Haemodialysis.
• Once the patient is trained, he/she has to visit the clinic as an outpatient once or twice a month to access the treatment logs.
• We also offer a facility to make fluid (dialysate) for some machines or use water treatment for others.
• Our team of experts even provides machine repairing services if required.

The Time Required To Do Home Haemodialysis

Performing home Haemodialysis on each treatment day requires a few hours. Since the machine is at home, a patient can perform the treatment whenever required early in the morning, late at night, or any time that works. However, it is not necessary that the patient has to do it on the same day every time.

• Machine setup takes around 30 minutes
• Cleaning the setup takes around 15 minutes