Haemodialysis Techniques and Adequacy 2

Chamney, Paul; Moissl, Ulrich; Wabel, Peter; Amato, Claudia; Stuard, Stefano; Menzer, Marcus; Vollmeier, Camillo; Williams, Gail; Shrivastava, Rajesh; Chess, James; Catling, E R; Brown, Christopher; Baker, Elizabeth; Ashcroft, Rachel; Mikhail, Ashraf; Djukanović, Ljubica; Djurić, Živka; Knežević, Violeta; Lazarevic, Tatjana; Ljubenovic, Stanimir; Marković, Rodoljub; Rabrenović, Violeta; Marinković, Jelena; Dimković, Nada; Lebourg, L; Ridel, Christophe; Preneuf, H. De; Roy, Frank Le; Petitclerc, Thierry; Wester, Maarten; Simonis, Frank; Kooman, Jeroen P.; Boer, Walther H.; Gerritsen, Karin G.F.; Joles, Jaap A.; Yamamoto, Kenichiro; Eguchi, Katsumi; Hirakawa, Shinya; Murakami, Jun; Akiba, Takashi; Mineshima, Michio; Σταμόπουλος, Δ.; Mpakirtzi, Nerantzoula; Lavranos, Aris; Panagiotou, Maria; Barbarousi, Despina; Matsouka, Charis; Grapsa, Eirini; Abbas, Samer R.; Zhu, Fansan; Kaysen, George A.; Kotanko, Peter; Levin, Nathan W.; Vasilevsky, A.; Коноплев, Г. А.; Stepanova, O. S.; Rubinsky, A.; Земченков, А Ю; Gerasimchuk, Roman; Frorip, A.; Abe, Takayuki; Ishimori, Isamu; Kusztal, Mariusz; Gołębiowski, Tomasz; Letachowicz, Krzysztof; Koniński, P; Witkowski, Grzegorz; Poznański, Paweł; Weyde, Wacław; Klinger, Marian; Ito, M.; Ito, Satoko; Suzuki, Miho; Masakane, Ikuto; Navarro, David; Gonçalves, C.; Ferreira, Ana Carina; Jorge, Cristina; Gil, Célia; Aires, Inês; Matias, Patrícia; Mendes, Marco; Azevedo, Ana; Gomes, Fernanda; Ferreira, Aníbal; Perazzini, Claudia; Scutiero, Lisa; Brighenti, Lavinia; Alessandro, Surace; Steckiph, Denis; Riccio, P.; Severi, Stefano; Sołtysiak, Jolanta; Warzywoda, Alfred; Musielak, Anna; Ostalska‐Nowicka, Danuta; Zachwieja, Jacek; Goeksel, Tugce; Garnier, H; Ritzerfeld, Maria; Mann, H.; Babinet, F.; Allard, B.; Todorova, Veliana; Hamont, Céline; Begri, R.; Dekker, Mje; Taks, Margot; Konings, Cjam; Scharnhorst, Volkher; Borawski, Jacek; Gozdzikiewicz-Lapinska, Joanna; Naumnik, Beata; Lodi, Carlo Alberto; Grandi, E.; Mancini, Elena; Santoro, Antonio; Sereni, Luisa; Caiazzo, Marialuisa; Corazza, Luca; Atti, Mauro; Palladino, Giuseppe; Sakurai, Katsunobu; Saito, Takeshi; Hosoya, Hiromi; Yamauchi, Fumi; Kurihara, Takayoshi; Tanibayashi, Yumi; Ikebe, Nohoko; Antonic, Manja; Gubenšek, Jakob; Drozg, Andrej; Vannier, Elisabeth; Mattio, Elodie; Ragon, Alain; Brunet, Philippe; Klimm, Wojciech; Pleskacz, Katarzyna; Pietrzak, B; Niemczyk, Stanisław; Leypoldt, John K.; Bernardo, Angelito; Muller, Matt; Marbury, Thomas; Culleton, Bruce F.; Zeraati, Abbas Ali; Hekmat, Reza; Reyhani, Hamid Reza; Sharifipoor, Farzaneh; Bolasco, Piergiorgio; Sitzia, Irene; Monni, A.; Mereu, Maria Cristina; Pinna, Antonio Maria; Logias, Francesco; Ghisu, Tonina; Passaghe, Mario; Gazzanelli, Luana; Ganadu, Marino; Piras, Angelo; Cossu, Maria Vittoria; Contu, Bruno; Palleschi, Simonetta; Rossi, Barbara; Ghezzi, P; Kron, Susanne; Schneditz, Daniel; Leimbach, Til; Aign, Sabine; Kron, Joachim; Koçkara, Ayşe Şeker; Kayataş, Mansur; Hüzmelí, Can; Candan, Ferhan; Yılmaz, Mehmet; Ahmed, B; Bejosano, Caroline N; Abouchacra, Samra; Falahi, Salama Z Al; Moniem, Khalid M Abdul; Dastoor, Hormaz; Kim, Seong–Min; Oh, Joonseok; Sin, Yong-Hun; Kim, Joong-Kyung; Lee, Jinho

doi:10.1093/ndt/gfu173

Cited by 2 publications

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“…4 Accumulation of different waste substances from the body is toxic in renal disease and serious abnormalities and even death may occur. 4 Although hemodialysis does not monitor normal body functions as it is not a constant process 5 , it still maintain the homeostatic environment of the body.…”

Section: Introductionmentioning

confidence: 99%

Hemodialysis;

Mehmood¹,

Ali²,

Zahra³

et al. 2019

TPMJ

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Introduction: Hemodialysis is the most common method - used to remove waste and toxic substances from the body, hence it is used to treat patients of different types of renal failure. Upto 1960s, attempts were made to reduce the side/adverse effects associated with hemodialysis and to make hemodialysis an effective therapy. Now-a-days many advanced and sophisticated dialysis machines have been designed which make dialysis therapy more convenient and promising. Hemodialysis therapy requires complete coordination between the health care team which includes nephrologists, dietitian, nurse, technician and social worker. Patient and his/her family also coordinate the procedure to make hemodialysis more effective. But even with the use of modern and effective dialysis machines for therapy patients may still suffer from different types of complications.Objective: The purpose of this study was to observe those complications and also their management during and after dialysis. Place and conducted year:Data was collected by convenience sampling technique in local hospital of LahoreinDecember, 2016. Study design: Retrospective approach was used and notices the case history of 100 patients.Methods:Retrospective approach was used and the case history of 100 patients (from morning and evening shifts) who had hemodialysis over a 1-5 year period was noted. Demographic and clinical data of patients who died during dialysis were compared to the control group comprised of the survivors of hemodialysis. Data was analyzed using SPSS IBM version 16. Result:In this study it was observed that patients may suffer from various complications. 38% patients suffered from hypotension, 13% patients suffered from cramps, Itching was observed in 15% of patients, Vomiting was observed in 18% of the patients and in 5% patients dialysis reaction was observed. In order to manage these complications normal saline and 5% dextrose were administered to the patients. Hydrocortisone Sodium Succinate was administered intravenously in order to manage dialyzer reaction and session was postponed. Although hemodialysis is beneficial but it poses certain risks as well.Conclusion:Hemodialysis is associated with various life threatening complications however these complications occur in low frequency and these can be managed and prevented by various protective therapies by health care team and medical staff.

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Section: Introductionmentioning

confidence: 99%

Hemodialysis;

Mehmood¹,

Ali²,

Zahra³

et al. 2019

TPMJ

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Continuous renal replacement therapy is a safe and effective modality for the initial management of dogs with acute kidney injury

Chen

Klainbart

Kelmer

et al. 2023

javma

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OBJECTIVE To describe the management of dogs with acute kidney injury (AKI) by continuous renal replacement therapy (CRRT), and to investigate the relationship between a prescribed CRRT dose, the hourly urea reduction ratio (URR), and the overall efficacy. ANIMALS 45 client-owned dogs diagnosed with severe AKI, receiving 48 CRRT treatments at a veterinary teaching hospital. PROCEDURES Retrospective study. Search of medical records of dogs with AKI managed by CRRT. RESULTS Median serum urea and creatinine at CRRT initiation were 252 mg/dL [Inter quartile range (IQR), 148 mg/dL; range, 64 to 603 mg/dL] and 9.0 mg/dL (IQR, 7 mg/dL; range, 4.3 to 42.2 mg/dL), respectively. Median treatment duration was 21 hours (IQR, 8.8 hours; range, 3 to 32 hours). Systemic heparinization and regional citrate anticoagulation were used in 24 treatments each (50%). The prescribed median CRRT dose for the entire treatment was 1 mL/kg/min (IQR, 0.4 mL/kg/min; range, 0.3 to 2.5 mL/kg/min). The median hourly URR was 4% (IQR, 1%; range, 2% to 12%), overall URR was 76% (IQR, 30%; range, 11% to 92%) and median Kt/V was 2.34 (IQR, 1.9; range, 0.24 to 7.02). The CRRT dose was increased gradually from 0.9 mL/kg/min to 1.4 mL/kg/min (P < .001) and the hourly URR decreased from 6.5% to 5.5% (P = .05). The main complication was clotting of the extra-corporeal circuit, occurring in 6/48 treatments (13%). Twenty-four dogs (53%) survived to discharge. CLINICAL RELEVANCE CRRT is safe when the prescription is based on the current veterinary guidelines for gradual urea reduction. Treatment efficacy can be maximized by gradually increasing the dose according to the actual URR.

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Haemodialysis Techniques and Adequacy 2

Cited by 2 publications

References 0 publications

Hemodialysis;

Hemodialysis;

Continuous renal replacement therapy is a safe and effective modality for the initial management of dogs with acute kidney injury

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