Renal Replacement Therapy / Dialysis
Renal replacement therapy (RRT) is therapy that replaces the normal blood-filtering function of the kidneys. It is used when the kidneys are not working well and an individual has kidney failure. Kidney failure can be from chronic kidney disease and from acute kidney injury
Renal replacement therapy is commonly referred to as Dialysis. There are two types of dialysis
- Peritoneal Dialysis (fluid is placed in the tummy)
- Haemodialysis (blood is cleaned by a machine)
We promote “home first” models of renal replacement therapy (RRT) and encourage use of the renal supportive care (RSC) model.
Peritoneal dialysis (PD) is an alternative to haemodialysis and is undertaken at home. Referrals to the peritoneal dialysis (PD) services is through the treating Nephrologist and/or the CKD nurse. There are two forms of Peritoneal Dialysis:
- Continuous Ambulatory Peritoneal Dialysis (CAPD) - A number of exchanges of fluid to and from the abdomen are performed each day manually; or
- Automated Peritoneal Dialysis (APD) - A machine cycles fluids through the abdomen overnight.
The patient with a carer/buddy is trained for a period of 6-12 weeks to be able to perform haemodialysis at home.
After completion of haemodialysis training patients and carer/buddy are supported by the Home Training Unit and the Sydney Dialysis Centre (SDC) by an Outreach team.
A team of clinicians and allied health professionals who provide care at home or as close to home where possible to support those on home dialysis.
Satellite Dialysis Units
- Wagga Wagga Renal Dialysis Unit
- Griffith Renal Dialysis Unit
- Deniliquin Renal Dialysis Unit
Self-care units are also located at Tumut and Young where those who are suitable for home dialysis can undertake their own dialysis in the unit.