Preparation of Bicarbonate-Containing Peritoneal Dialysate using an Automated Dialysate Delivery System

Bicarbonate-Buffered Peritoneal Dialysis

“…The technique (Figure 3) is similar to the threestream, on-line technique employed for hemodialysis described above. The final dialysate so produced is similar to those prepared by the above two other methods (6).…”

“…Although relatively difficult to prepare and store, sterile peritoneal dialysis solutions containing bicarbonate, calcium and magnesium may at times be needed (1)(2)(3)(4)(5)(6)(7)(8)(9)(10), For example, one may have to dialyze a uremic patient who has developed hypotension and lactic acidosis, In such a patient, the lactate or acetate in conventional dialysates may not be metabolized to bicarbonate because of tissue hypoxia, and acidosis may be further worsened because bicarbonate is removed during dialysis (11)(12)(13)(14). Using bicarbonate-containing dialysate in such a patient will add bicarbonate to the blood and also remove lactate (12)(13)(14).…”

Real-Time Monitoring and Reminding of Remote Peritoneal Dialysis System Based on the Principle of Least Squares

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With the improvement of computer technology and the application level of medical information, the construction of "Medical + Internet" mode provides a feasible solution for follow-up diagnosis and treatment of certain diseases in remote areas [6]. On this basis, telemedicine has been widely used in medical care that is good news for patients living in remote communities and areas, which not only can provide patients with relevant information and services [7], but also can support patients living in remote areas and help them in maintaining independent status while inculcating a greater degree of confidence that well-trained professionals are closely monitoring the therapy and are readily available for assistance, with a clinical benefit [8,9]. At present, various remote systems have been developed to assist in peritoneal dialysis.

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