Cardiovascular Disorders in Hemodialysis: 14th International by Mohammed S. Razzaque, Takashi Taguchi

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By Mohammed S. Razzaque, Takashi Taguchi

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Extra info for Cardiovascular Disorders in Hemodialysis: 14th International Course on Hemodialysis, Vicenza, May 2005 (Contributions to Nephrology)

Sample text

Notwithstanding these contributions literature still reports fatal accidents or significant percentage of dialysis units not complying to the water quality standards. Technological improvement lowers chemical contamination but microbial quality relays more on quality assurance programs than on technology. Optimal water quality represents part of the anti-inflammatory strategies we need to assure to our dialysis patients to improve outcome. Copyright © 2005 S. Karger AG, Basel Water Quality as Anti-Inflammatory Treatment Dialysate quality enters as a fundamental agent in the biocompatibility evaluation of hemodialysis treatment.

4). Model of Internal Filtration 33 Conclusions The aim of this work was to build up a simple, semi-empirical model and related software tool to characterize the IF of a particular dialyzer as a function of dialysis condition, including the main variability related to the patient’s blood. The results obtained with the model may be used to evaluate the concrete possibility to perform diffusive-convective dialysis by virtue of the sole IF/BF phenomena. Several trials in the past might have failed to demonstrate the superiority of high-flux membranes because of the poor utilization of the convective potential.

First, fϩ is assumed for a given plasma protein concentration which will change during extracorporeal blood treatment. 95, but with ultrafiltration-induced hemoconcentration fϩ may fall to much lower levels. The effect of hemoconcentration could be accounted for by parallel measurements of plasma volume changes. Secondly, sodium is not directly measured and electrical conductivity (␭) is used as a surrogate for [Naϩ]. Since the measurement of dialysate ␭ is now used to determine dialysance as a surrogate for effective urea clearance in several dialysis machines, the same technique has been claimed to provide enough information to measure [Naϩ]pw [6].

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