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. The process involves removing waste substances and fluid from the blood that are normally eliminated by the kidneys. Dialysis may also be used for people who have been exposed to or ingested toxic substances to prevent kidney failure from occurring. There are 2 types of dialysis that may be done on your child: peritoneal or hemodialysis:
Peritoneal dialysis. Peritoneal dialysis is done by surgically placing a soft, hollow tube into your child's lower abdomen near the navel. After the tube is placed, a solution called dialysate is instilled into the peritoneal cavity. The peritoneal cavity is the space in the abdomen that houses the organs and is lined by two special membrane layers called the peritoneum. The dialysate is left in the abdomen for a designated time that will be determined by your child's doctor. The dialysate fluid absorbs the waste products and toxins through the peritoneum. The fluid is then drained from the abdomen, measured, and discarded. There are two different types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and continuous cyclic peritoneal dialysis (CCPD):
CAPD does not require a machine. Exchanges, often referred to as passes, can be done 3 to 5 times a day, during waking hours.
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. Hemodialysis is done in a dialysis center or hospital by trained health care professionals. A special type of access, called an arteriovenous (AV) fistula, is placed surgically, usually, in your child's arm. This involves joining an artery and a vein together. An external, central, intravenous (IV) catheter may also be inserted, but is less common for long-term dialysis. After access has been established, your child will be connected to a large hemodialysis machine that drains your child's blood, bathes it in a special dialysate solution that removes waste substances and fluid, then returns it to your child's bloodstream. Hemodialysis is usually done several times a week and each session lasts for 4 to 5 hours. Because of the length of time hemodialysis takes, 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... 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... 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
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 Kentucky. She joined 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