Online clearance measurement in high-efficiency hemodiafiltration
The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use in highly convective therapies, such as online hemodiafiltration, we derived a new model for the measurement of ionic dialysance. This metho...
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| Vydáno v: | Kidney international Ročník 72; číslo 12; s. 1550 - 1553 |
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| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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New York, NY
Elsevier Inc
01.12.2007
Nature Publishing Elsevier Limited |
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| ISSN: | 0085-2538, 1523-1755 |
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| Abstract | The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use in highly convective therapies, such as online hemodiafiltration, we derived a new model for the measurement of ionic dialysance. This method was validated in a study involving 12 patients on pre- and postdilution online hemodiafiltration under various conditions. Clinically, there was a very good agreement between the dialysance determined by conductivity variation and blood side urea clearance. Neither the dilution modes nor the flow rate of the substitution fluid was found to significantly influence this agreement. Our results show that ionic dialysance can be easily and precisely measured by conductivity variation, and this provides an excellent surrogate for urea clearance even in highly convective therapies. |
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| AbstractList | The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use in highly convective therapies, such as online hemodiafiltration, we derived a new model for the measurement of ionic dialysance. This method was validated in a study involving 12 patients on pre- and postdilution online hemodiafiltration under various conditions. Clinically, there was a very good agreement between the dialysance determined by conductivity variation and blood side urea clearance. Neither the dilution modes nor the flow rate of the substitution fluid was found to significantly influence this agreement. Our results show that ionic dialysance can be easily and precisely measured by conductivity variation, and this provides an excellent surrogate for urea clearance even in highly convective therapies. The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use in highly convective therapies, such as online hemodiafiltration, we derived a new model for the measurement of ionic dialysance. This method was validated in a study involving 12 patients on pre- and postdilution online hemodiafiltration under various conditions. Clinically, there was a very good agreement between the dialysance determined by conductivity variation and blood side urea clearance. Neither the dilution modes nor the flow rate of the substitution fluid was found to significantly influence this agreement. Our results show that ionic dialysance can be easily and precisely measured by conductivity variation, and this provides an excellent surrogate for urea clearance even in highly convective therapies.The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use in highly convective therapies, such as online hemodiafiltration, we derived a new model for the measurement of ionic dialysance. This method was validated in a study involving 12 patients on pre- and postdilution online hemodiafiltration under various conditions. Clinically, there was a very good agreement between the dialysance determined by conductivity variation and blood side urea clearance. Neither the dilution modes nor the flow rate of the substitution fluid was found to significantly influence this agreement. Our results show that ionic dialysance can be easily and precisely measured by conductivity variation, and this provides an excellent surrogate for urea clearance even in highly convective therapies. |
| Author | Canaud, B. Gross, M. Tetta, C. Maierhofer, A. Sénecal, L. |
| Author_xml | – sequence: 1 givenname: M. surname: Gross fullname: Gross, M. email: Malte.gross@fmc-ag.com organization: Fresenius Medical Care Deutschland GmbH, R&D International, Bad Homburg, Germany – sequence: 2 givenname: A. surname: Maierhofer fullname: Maierhofer, A. organization: Fresenius Medical Care Deutschland GmbH, R&D International, Bad Homburg, Germany – sequence: 3 givenname: C. surname: Tetta fullname: Tetta, C. organization: Fresenius Medical Care Deutschland GmbH, R&D International, Bad Homburg, Germany – sequence: 4 givenname: L. surname: Sénecal fullname: Sénecal, L. organization: Nephrology, Dialysis and Intensive Care Unit, Lapeyronie University Hospital, Montpellier, France – sequence: 5 givenname: B. surname: Canaud fullname: Canaud, B. organization: Nephrology, Dialysis and Intensive Care Unit, Lapeyronie University Hospital, Montpellier, France |
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| Cites_doi | 10.1046/j.1523-1755.2003.00240.x 10.1093/ndt/16.5.1053 10.1053/ajkd.2001.26874 10.1038/ki.1990.149 10.1177/039139889301600404 10.1046/j.1525-1594.2002.06817.x 10.1111/j.1492-7535.2005.01122.x 10.1177/039139889301600804 10.1038/sj.ki.5000447 10.1046/j.1523-1755.1999.00236.x 10.1007/BF00867675 |
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| Keywords | convection dialysis efficiency clearance hemodiafiltration Measurement Nephrology Hemodiafiltration Efficiency High efficiency Dialysis Clearance Convection Urology Quantitative analysis |
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| SubjectTerms | Biological and medical sciences clearance convection dialysis efficiency hemodiafiltration Hemodiafiltration - methods Hemodiafiltration - standards Humans Kidney Failure, Chronic - therapy Medical sciences Models, Biological Nephrology. Urinary tract diseases Reproducibility of Results Urea - metabolism |
| Title | Online clearance measurement in high-efficiency hemodiafiltration |
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