Dialysate Flow: Is the Less the Better?

Molano-Triviño, Alejandra; Guzmán, Gustavo; Galvan, A Torres; Ducuara, Daniel; Martínez, Anthony; Yúnez, Alberto

doi:10.1159/000501389

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the data regarding clearances remain controversial. In the Flugain study, Molano‐Trivino et al 14 compared dialysis parameters in cross‐over trial (2 periods of 4 weeks with Qd at 400 and 500 mL/min) including 46 thin HD patients (body weight<65 kilos). No difference regarding predialysis phosphate, potassium, and KT/V were found, whereas 24 L of dialysate was spared per session.…”

Section: Reducing the Dialysate Flow Presciption In Hemodialysismentioning

confidence: 99%

Sustainability and environmental impact of on‐line hemodiafiltration

Chazot

2022

Seminars in Dialysis

View full text Add to dashboard Cite

Environment has become a main issue of human activities. Chronic hemodialysis (HD) therapy saves lives but consumes large amounts of water and power and produces a lot of care-related waste. On-line hemodiafiltration (HDF) improves patients' outcomes but increases water consumption from ultra-pure water needs and infusion volume. New-generation water treatment systems have much reduced the proportion of reject water that can also be reused. Reducing the dialysate flow in standard HD decreases significantly the water consumption but impacts negatively dialysis efficiency. When on-line HDF is prescribed, reducing the dialysate flow may be applied to decrease water needs while maintaining dialysis efficiency. Nowadays, dialysis prescription cannot ignore its impact on natural resources and environment.

show abstract

Section: Reducing the Dialysate Flow Presciption In Hemodialysismentioning

confidence: 99%

Sustainability and environmental impact of on‐line hemodiafiltration

Chazot

2022

Seminars in Dialysis

View full text Add to dashboard Cite

show abstract

“…Thus, the potential savings in dialysis fluid and water consumption should not compromise dialysis adequacy. Long-term effects were addressed by a group from Colombia who was able to show that the reduction of the dialysate flow from 500 to 400 mL/min over 2 years not only had no significant influence on clinical parameters and Kt/V, but also not on mortality [ 35 , 36 ].…”

Section: Water Sparing Strategies Through Optimized Dialysate Flowmentioning

confidence: 99%

Advanced hemodialysis equipment for more eco-friendly dialysis

2021

View full text Add to dashboard Cite

Healthcare in general and dialysis care in particular are contributing to resource consumption and, thus, have a notable environmental footprint. Dialysis is a life-saving therapy but it entails the use of a broad range of consumables generating waste, and consumption of water and energy for the dialysis process. Various stakeholders in the healthcare sector are called upon to develop and to take measures to save resources and to make healthcare and dialysis more sustainable. Among these stakeholders are manufacturers of dialysis equipment and water purification systems. Dialysis equipment and consumables, together with care processes need to be advanced to reduce waste generation, enhance recyclability, optimize water purification efficiency and water use. Joint efforts should thus pave the way to enable delivering green dialysis and to contribute to environmentally sustainable health care.

show abstract

Dialysate Flow: Is the Less the Better?

Cited by 2 publications

References 0 publications

Sustainability and environmental impact of on‐line hemodiafiltration

Sustainability and environmental impact of on‐line hemodiafiltration

Advanced hemodialysis equipment for more eco-friendly dialysis

Contact Info

Product

Resources

About