At the Cardiovascular Center, our specialists are trained to help with a number of conditions. Our specialists can offer you expert evaluation of your condition as well as treatment options, which may include dialysis. Our team works with you to evaluate and carry out the best treatment possible.
What is dialysis?
Dialysis is a procedure that is done routinely on people who have acute or chronic kidney (renal) failure. It filters waste and extra fluid from the blood, something that would normally be done by the kidneys. Dialysis may also be used to prevent kidney failure if someone has been exposed to or swallowed toxic substances. There are 2 types of dialysis that may be done on your child: peritoneal or hemodialysis.
Peritoneal dialysis can be done at home. But you must be trained first. This method uses the lining of the belly (abdominal) cavity to filter the blood. This cavity is the space that holds organs such as the stomach, intestines, and liver. The lining is called the peritoneum. First, a surgeon places a thin, flexible tube (catheter) into your child’s belly. After the tube is placed, a sterile cleansing fluid (dialysate) is put through the catheter into the peritoneal cavity. The fluid is left in the belly for a certain period of time. This fluid absorbs the waste products and toxins through the peritoneum. The fluid is then drained from the belly, measured, and discarded. This process of filling and draining fluid is called an exchange.
There are 2 different types of peritoneal dialysis:
Continuous ambulatory peritoneal dialysis (CAPD). CAPD does not require a machine. The exchanges can be done 3 to 5 times a day, during waking hours.
Continuous cyclic peritoneal dialysis (CCPD). CCPD requires the use of a special dialysis machine that can be used in the home. This type of dialysis is done automatically, even while your child is asleep.
Hemodialysis is done in a dialysis center or hospital by trained healthcare professionals. A special type of access, called an arteriovenous (AV) fistula, is placed surgically. It is usually done in your child's arm. This involves joining an artery and a vein together. An external, central, IV (intravenous) catheter may also be inserted. But this is less common for long-term dialysis. Your child will then be connected to a large hemodialysis machine. Blood is pumped through a tube into the machine to filter out the wastes and extra fluid. The filtered blood then flows through another tube back into your child's body. Hemodialysis is usually done several times a week. Each session lasts for 4 to 5 hours. It may be helpful to bring games or reading materials for your child to keep him or her busy during this procedure.
Dr. Brooke grew up in Salt Lake City and received his Doctor of Medicine from the University of Utah before heading east to complete his internship and residency in General Surgery at the Johns Hopkins Hospital. During his Halsted residency, he received his Ph.D. in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health. He t... Read More
Dr. Couldwell specializes in Neurosurgery, Brain Tumors, Brain Aneurysms, Skull Base Surgery, Stroke, Traumatic Brain Injury, Head Trauma and Neuro Critical Care.William T. Couldwell, MD, PhD serves as Professor and Chair of the Department of Neurosurgery at the University of Utah. He has served as Director of the American Board of Neurological Sur... Read More
Dr. Griffin grew up in England and moved to the United States in 1991. She received her Bachelor of Arts in Spanish from Florida State University and took time off during and after college to do volunteer work, teaching in both Spain and Honduras. She continued to pursue overseas outreach opportunities in medical school at the University of Flori... Read More
Larry W. Kraiss, M.D. is Professor and Chief of the Division of Vascular Surgery at the University of Utah. He is a graduate of Vanguard University of Southern California (BA: Science-Chemistry) and Baylor College of Medicine (M.D.). He took his general and vascular surgical training at the University of Washington in Seattle where he also spent th... Read More
Dr. Mark Sarfati is board certified in General Surgery and Vascular Surgery. He serves as Associate Professor of Surgery (clinical) and as Adjunct Assistant Professor Radiology at the University of Utah. He is actively involved in several clinical research studies. Dr. Sarfati began his pursuit of medicine by attending Jefferson Medical College i... Read More
Dr. Brigitte Smith is a native of Wisconsin. She received her undergraduate degree at the University of Wisconsin, LaCrosse in Microbiology, Chemistry with a concentration in Biomedical Science. Her MD was awarded to her from the University of Wisconsin School of Medicine and Public Health. There she continued her residency in Vascular Surgery. ... Read More
Dee Jost, APRN, is a board certified family nurse practitioner. She has been a provider at the University of Utah Medical Center since 1994 and for Vascular Surgery since 1999. Prior to obtaining her advance practice degree, she worked within the UUMC Burn ICU and she maintains her interest in wound care as part of her current position. Other are... Read More
Joanna Lynch is a Physician Assistant with the Division of Vascular Surgery since joining the University of Utah in 2005. She provides care to hospitalized vascular surgery patients, assists in the operating room in open and endovascular surgeries and is a resource for dialysis centers. Since 2006 she has served as the Department of Surgery Physi... Read More
Heidi is a Nurse Practitioner specializing in Acute Care. She joined the University of Utah, Division of Vascular Surgery in 2014. Prior to being on staff here she worked at Intermountain Healthcare. She enjoys providing complete medical and surgical care of vascular patients.... Read More
Ariel is a Physician Assistant specializing in Vascular Surgery. She completed her Physician Assistant training in Dayton, Ohio. She moved from her home state of Kentucky to join the University of Utah, Division of Vascular Surgery in 2014. She enjoys the challenges of providing medical and surgical care of vascular patients.... Read More