Do you intensify the dialysis prescription for patients with end stage kidney disease who develop uremic pericarditis despite regular dialysis sessions?  

This was what we did 30 years ago, it did not work. I remember as a fellow there were two explanations for pericarditis in a renal patient, uremic pericarditis if they had not started RRT and something else ("viral etc) if they were on RRT. This was based on the assumption that RRT was good enough t...

Definitely. I am a definite believer in doing more aggressive dialysis in these patients. While inpatient, I would try to do dialysis daily on them. Once outpatient I would do at least 4 days per week but more frequently if possible. It does seem even without more frequent dialysis, most patients of...

Each patient is different and requires different therapy. I am routinely able to make significant improvement in size of pleural effusions with daily dialysis over 1-2 weeks (one hour of PUF followed by 2 hours dialysis daily to remove around 3 liters each time). My experience with pericardial effus...