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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Veröffentlicht in:Clinical kidney journal 2015-04, Vol.8 (2), p.191-198
Hauptverfasser: 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.
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container_end_page 198
container_issue 2
container_start_page 191
container_title Clinical kidney journal
container_volume 8
creator 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.
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.
doi_str_mv 10.1093/ckj/sfv003
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title Optimization of the convection volume in online post-dilution haemodiafiltration: practical and technical issues
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