Categories: 20. M1) Extracorporeal dialysis: techniques and adequacy

The power of published models of dialysis adequacy to predict clinical outcomes in renal failure patients maintained on continuous ambulatory peritoneal dialysis (CAPD) is controversial. Inflammation may be an important predictor of morbidity and mortality in CAPD. Baseline data from a 2-yr prospective, longitudinal study of peritoneal dialysis adequacy were analysed. Baseline measures of dialy...

The current concept of an adequate dialysis based only on the dialysis process itself is rather limited. We now have considerable knowledge of uraemic toxicity and improved tools for limiting uraemic toxin accumulation. It is time to make use of these. A broader concept of adequacy that focusses on uraemic toxicity is required. As discussed in the present review, adequacy could be achieved by m...

Acidosis causes malnutrition in peritoneal dialysis (PD) patients. The effect of oral bicarbonate in PD patients with Kt/V <2.1 has not been studied. We randomly assigned 60 PD patients with acidosis and Kt/V <2.1 to oral sodium bicarbonate (0.9 g thrice daily) or placebo. Patients were followed for 12 mo. We compared their nutritional status, including subjective global assessment (SGA) score ...

Introduction: Adequate and effective dialysis can improve patients’ quality of life reduce kidney failure complications mortality in end-stage renal disease on hemodialysis. Objectives: This study aimed to evaluate adequacy based Kt/V its related factors among patients undergoing Patients Methods: cross-sectional, multi-center was conducted during six months hemodialysis referred centers the Gu...

conclusions we conclude that a significant percentage of esrd patients undergoing maintenance hd have severe or very severe rls symptoms. the presence of rls is associated to longer durations of dialysis. results of the 139 hd patients enrolled in this study, 60 were female (43.2%) and 79 were male (56.8%), with a mean age of 51.82 ± 13.31 years. the prevalence of rls was 15.8% (22 patients), w...

Background and Objectives: Hemodialysis (HD) is one of the therapeutic modalities patients. Since inadequate dialysis increases mortality and morbidity of patients, therefore, assessment of dialysis adequacy is clinically important. For this reason, hemodialysis adequacy was determined in patients underg...

The optimal dialysis dose for the treatment of acute kidney injury (AKI) is controversial. No studies have directly examined the effects of peritoneal dialysis (PD) dose on outcomes in AKI. From January 2005 to January 2007, we randomly assigned critically ill patients with AKI to receive higher- or lower-intensity PD therapy (prescribed Kt/Vof 0.8 and 0.5 per session respectively). The main ou...