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
Hlavní autoři: Gross, M., Maierhofer, A., Tetta, C., Sénecal, L., Canaud, B.
Médium: Journal Article
Jazyk:angličtina
Vydáno: 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.
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.
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CitedBy_id crossref_primary_10_1038_ki_2008_280
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Issue 12
Keywords convection
dialysis efficiency
clearance
hemodiafiltration
Measurement
Nephrology
Hemodiafiltration
Efficiency
High efficiency
Dialysis
Clearance
Convection
Urology
Quantitative analysis
Language English
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  article-title: Principles and biophysics of dialysis
– volume: 22
  start-page: 191
  year: 2001
  ident: 10.1038/sj.ki.5002551_bb0030
  article-title: Dialysance ionique et contrôle de qualité de l'épuration en hémodialyse
  publication-title: Néphrologie
– reference: 18756308 - Kidney Int. 2008 Sep;74(6):829; author reply 829-30
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Snippet The measurement of ionic dialysance by conductivity variation is an established method in diffusive hemodialysis. To extend the validity of this method for use...
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StartPage 1550
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
URI https://dx.doi.org/10.1038/sj.ki.5002551
https://www.ncbi.nlm.nih.gov/pubmed/17882147
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https://www.proquest.com/docview/69007765
Volume 72
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