**7. Peritoneal dialysis and hyperammonemia**

Data suggest that peritoneal dialysis (PD) is insufficient to achieve adequate ammonia clearance compared to other modalities of RRT [6]. A scoping review of data addressing the ammonia clearance by PD indicated a low rate of clearance (less than 40 mL/min). Unfortunately, studies about the effectiveness of PD in the management of adult patients with hyperammonemia are limited. PD might be considered when other effective forms of RRT are not readily available.
