Confronting Practical Problems for Initiation of On-line Hemodiafiltration Therapy
Electrolytes & Blood Pressure
; : 1-4, 2016.
Article
em En
| WPRIM
| ID: wpr-145687
Biblioteca responsável:
WPRO
ABSTRACT
Conventional hemodialysis, which is based on the diffusive transport of solutes, is the most widely used renal replacement therapy. It effectively removes small solutes such as urea and corrects fluid, electrolyte and acid-base imbalance. However, solute diffusion coefficients decreased rapidly as molecular size increased. Because of this, middle and large molecules are not removed effectively and clinical problem such as dialysis amyloidosis might occur. Online hemodiafiltration which is combined by diffusive and convective therapies can overcome such problems by removing effectively middle and large solutes. Online hemodiafiltration is safe, very effective, economically affordable, improving session tolerance and may improve the mortality superior to high flux hemodialysis. However, there might be some potential limitations for setting up online hemodiafiltaration. In this article, we review the uremic toxins associated with dialysis, definition of hemodiafiltration, indication and prescription of hemodiafiltration and the limitations of setting up hemodiafiltration.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Desequilíbrio Ácido-Base
/
Ureia
/
Água
/
Mortalidade
/
Diálise Renal
/
Terapia de Substituição Renal
/
Hemodiafiltração
/
Diálise
/
Difusão
/
Prescrições
Tipo de estudo:
Prognostic_studies
Idioma:
En
Revista:
Electrolytes & Blood Pressure
Ano de publicação:
2016
Tipo de documento:
Article