In the recent years, continuous peritoneal dialysis (PD) had a widespr
ead development in children. This technique is available even in infan
ts and is adapted to home care. If initially the prescription of PD wa
s empirical, it has nowadays improved thanks to objective approaches:
intraperitoneal dwell volume and tolerance assessment by intraperitone
al pressure measurement, dwell time determination in terms of dialysis
adequacy, ie APEX time as ultrafiltration and low molecular purificat
ion times. Nevertheless children home dialysis is a daily challenge fo
r the family and requires an active and long-lasting support from the
medical and paramedical team.