background central dialysate fluid delivery systems (cdds) are used by dialysis centers in japan, and although these systems are effective at delivering dialysate, they have a complex piping network with numerous sites where contamination can develop. in japan, cleaning disinfectants have been clinically evaluated based on endotoxin levels and bacterial counts, but there have been no published ...

The effectiveness of the haemodialysis (HD) treatment directly affects survival and quality life dialysis patients. In this regard, composition dialysate, including water, is very important. Normalizing plasma electrolyte mineral concentrations before to while reducing significant changes in patient's intradialytic one HD's main goals. For purpose avoiding intra- interdialytic hypotension as we...

BACKGROUND Diffusive clearance depends on blood and dialysate flow rates and the overall mass transfer area coefficient (K(o)A) of the dialyzer. Although K(o)A should be constant for a given dialyzer, urea K(o)A has been reported to vary with dialysate flow rate possibly because of improvements in flow distribution. This study examined the dependence of K(o)A for urea, phosphate and β(2)-microg...

Quantitation of hemodialysis by measuring changes in blood solute concentration requires careful timing when taking the postdialysis blood sample to avoid errors from postdialysis rebound and from recirculation of blood through the access device. It also requires complex mathematical interpretation to account for solute disequilibrium in the patient. To circumvent these problems, hemodialysis c...

Low dialysate sodium concentrations have been associated with intradialytic symptoms such as muscle cramps and hypotensive episodes. High dialysate sodium concentrations lead to sodium loading, thirst and subsequent increase in interdialytic weight gain and hypertension. The optimal dialysate sodium concentration for an individual depends on the serum sodium concentration. The difference betwee...

Low dialysate sodium concentrations have been associated with intradialytic symptoms such as muscle cramps and hypotensive episodes. High dialysate sodium concentrations lead to sodium loading, thirst and subsequent increase in interdialytic weight gain and hypertension. The optimal dialysate sodium concentration for an individual depends on the serum sodium concentration. The difference betwee...

BACKGROUND Oxidative stress (OS) related to glucose degradation products such as methylglyoxal is reportedly associated with peritoneal deterioration in patients treated with peritoneal dialysis (PD). However, the use of general antioxidant agents is limited due to their harmful effects. This study aimed to clarify the influence of the novel antioxidant molecular hydrogen (H2) on peritoneal OS ...

In haemodialysis, sodium and fluid balance (where intake matches loss) is achieved by ultrafiltration diffusion between the plasma water dialysate. If a patient’s does not change, any reduction in gain obtained lowering dialysate concentration will result less removal ultrafiltration. The corresponding change to achieve may mean benefit of lower offset morbidity caused fall serum during dialysi...

INTRODUCTION Total dialysate calcium concentration has an important influence on calcium metabolism in bicarbonate high-flux dialysis. The aim of the study is to investigate the influence of different dialysate calcium concentrations on serum concentration of ionised calcium and on the balance of total dialysate calcium. MATERIALS AND METHODS A total of 20 stable aneuric patients on chronic b...

Prof. M. Fischbach, Unité Nephrologie Dialyse, Transplantation, Pédiatrie 1, Hôpitaux Universitaires de Strasbourg Hautepierre, F-67000 Strasbourg (France) Patient Dear Sir, Microbially contaminated dialysate is a well-known risk in patients undergoing he-modialysis but today seems very infrequent. On the contrary, more attention is to take into consideration for the dialysate pyrogenic substan...