Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
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- In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulationIn post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulation and dialysers. Finally, five of the main HDF systems in Europe are briefly described as far as HDF prescription and optimization of the convection volume is concerned.…
Autor(en): | Isabelle Chapdelaine, Camiel L.M. de Roij van Zuijdewijn, Ira M. Mostovaya, Renée Lévesque, Andrew Davenport, Peter J. Blankestijn, Christoph Wanner, Menso J. Nubé, Muriel P.C. Grooteman |
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URN: | urn:nbn:de:bvb:20-opus-150020 |
Dokumentart: | Artikel / Aufsatz in einer Zeitschrift |
Institute der Universität: | Medizinische Fakultät / Medizinische Klinik und Poliklinik I |
Sprache der Veröffentlichung: | Englisch |
Titel des übergeordneten Werkes / der Zeitschrift (Englisch): | Clinical Kidney Journal |
Erscheinungsjahr: | 2015 |
Band / Jahrgang: | 8 |
Heft / Ausgabe: | 2 |
Seitenangabe: | 191-198 |
Originalveröffentlichung / Quelle: | Clinical Kidney Journal (2015) 8:2, 191-198. DOI: 10.1093/ckj/sfv003 |
DOI: | https://doi.org/10.1093/ckj/sfv003 |
PubMed-ID: | https://pubmed.ncbi.nlm.nih.gov/PMC4370303 |
Allgemeine fachliche Zuordnung (DDC-Klassifikation): | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
Freie Schlagwort(e): | convection volume; dialysis; haemodiafiltration |
Datum der Freischaltung: | 23.01.2019 |
Lizenz (Deutsch): | CC BY-NC: Creative-Commons-Lizenz: Namensnennung, Nicht kommerziell 4.0 International |