Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues

In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript su...

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Autores principales: Chapdelaine, Isabelle, de Roij van Zuijdewijn, Camiel L.M., Mostovaya, Ira M., Lévesque, Renée, Davenport, Andrew, Blankestijn, Peter J., Wanner, Christoph, Nubé, Menso J., Grooteman, Muriel P.C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Contents
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370303/
https://www.ncbi.nlm.nih.gov/pubmed/25815176
http://dx.doi.org/10.1093/ckj/sfv003
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author Chapdelaine, Isabelle
de Roij van Zuijdewijn, Camiel L.M.
Mostovaya, Ira M.
Lévesque, Renée
Davenport, Andrew
Blankestijn, Peter J.
Wanner, Christoph
Nubé, Menso J.
Grooteman, Muriel P.C.
author_facet Chapdelaine, Isabelle
de Roij van Zuijdewijn, Camiel L.M.
Mostovaya, Ira M.
Lévesque, Renée
Davenport, Andrew
Blankestijn, Peter J.
Wanner, Christoph
Nubé, Menso J.
Grooteman, Muriel P.C.
author_sort Chapdelaine, Isabelle
collection PubMed
description In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulation and dialysers. Finally, five of the main HDF systems in Europe are briefly described as far as HDF prescription and optimization of the convection volume is concerned.
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spelling pubmed-43703032015-03-26 Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues Chapdelaine, Isabelle de Roij van Zuijdewijn, Camiel L.M. Mostovaya, Ira M. Lévesque, Renée Davenport, Andrew Blankestijn, Peter J. Wanner, Christoph Nubé, Menso J. Grooteman, Muriel P.C. Clin Kidney J Contents In post-dilution online haemodiafiltration (ol-HDF), a relationship has been demonstrated between the magnitude of the convection volume and survival. However, to achieve high convection volumes (>22 L per session) detailed notion of its determining factors is highly desirable. This manuscript summarizes practical problems and pitfalls that were encountered during the quest for high convection volumes. Specifically, it addresses issues such as type of vascular access, needles, blood flow rate, recirculation, filtration fraction, anticoagulation and dialysers. Finally, five of the main HDF systems in Europe are briefly described as far as HDF prescription and optimization of the convection volume is concerned. Oxford University Press 2015-04 2015-02-16 /pmc/articles/PMC4370303/ /pubmed/25815176 http://dx.doi.org/10.1093/ckj/sfv003 Text en © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Contents
Chapdelaine, Isabelle
de Roij van Zuijdewijn, Camiel L.M.
Mostovaya, Ira M.
Lévesque, Renée
Davenport, Andrew
Blankestijn, Peter J.
Wanner, Christoph
Nubé, Menso J.
Grooteman, Muriel P.C.
Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title_full Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title_fullStr Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title_full_unstemmed Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title_short Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
title_sort optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
topic Contents
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4370303/
https://www.ncbi.nlm.nih.gov/pubmed/25815176
http://dx.doi.org/10.1093/ckj/sfv003
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