TY  - JOUR
AU  - Traitanon, Opas
AU  - Boongerd, Thanarak
AU  - Dumnin, Songphon
AU  - Buekban, Chatchai
AU  - Pongthornseri, Ronachai
AU  - Sampnyuth, Supat
AU  - Thanawattano, Chusak
AU  - Surangsrirat, Decho
PY  - 2021/08/27
Y2  - 2026/03/01
TI  - An Initial Report on Operability and Safety of A Domestic Automated Peritoneal Dialysis Machine in Thailand
JF  - Asian Medical Journal and Alternative Medicine
JA  - AMJAM
VL  - 21
IS  - 2
SE  - Original Articles
DO  - 
UR  - https://asianmedjam.com/index.php/amjam/article/view/264
SP  - 91-96
AB  - &lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Thailand had implemented the peritoneal dialysis first (PD first) policy which allowed access to peritoneal dialysis as a first-line treatment for end-stage renal disease (ESRD). However, all the patients under this policy are allowed to use only the self-operated Continuous Ambulatory Peritoneal Dialysis (CAPD) but not the Automated Peritoneal Dialysis (APD). While APD has a lot of advantages over CAPD, its cost is more than double in Thailand. Under these circumstances, it is crucial to produce APD equipment with a trade-off between good performance and affordable price.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This study is a pilot cross-sectional study to evaluate the operability and safety of the domestically developed APD machine. Three stable ESRD patients already treated with APD machines were recruited for the 7-day trial.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; There is a slight decrease in the dwell time due to the longer operational time of the developed machine; 11.26 ± 2.29%. Increases in serum creatinine and blood urea nitrogen were observed; 3.01 ± 1.83% and 22.92 ± 4.48%, respectively. No major adverse events were reported.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; The developed machine used only gravity for the exchange, the dwell time was decreased as expected, resulting in a lower exchange of the waste products from the blood to the peritoneal cavity. Even though the results show a slightly lower treatment performance, no clinical significance during short-term follow-up was observed. To obtain similar performance for the domestically developed APD machine, total treatment time could be increased to maintain comparable dwell time overnight.&lt;/p&gt;
ER  -