We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
¿Cuál es el flujo de baño óptimo en la hemodiafiltración on-line posdilucional?
- Authors
Albalate Ramón, Marta; de Sequera Ortiz, Patricia; Pérez-García, Rafael; Corchete Prats, Elena; Alcázar Arroyo, Roberto; Ortega Díaz, Mayra; Puerta Carretero, Marta
- Abstract
Introduction: In post-dilution online hemodiafiltration (OL-HDF), the only recommendation concerning the dialysate, or dialysis fluid, refers to its purity. No study has yet determined whether using a high dialysate flow (Qd) is useful for increasing Kt or ultrafiltration-infusion volume. Objective: Study the influence of Qd on Kt and on infusion volume in OL-HDF. Material and methods: This was a prospective crossover study. There were 37 patients to whom 6 sessions of OL-HDF were administered at 3 different Qds: 500, 600 and 700 ml/min. A 5008® monitor was used for the dialysis in 21 patients, while an AK-200® was used in 17. The dialysers used were: 20 with FX 800® and 17 with Polyflux-210®. The rest of the parameters were kept constant. Monitor data collected were effective blood flow, effective dialysis time, final Kt and infused volume. Results: We found that using a Qd of 600 or 700 ml/min increased Kt by 1.7% compared to using a Qd of 500 ml/min. Differences in infusion volume were not significant. Increasing Qd from 500 ml/min to 600 and 700 ml/min increased dialysate consumption by 20% and 40%, respectively. Conclusions: With the monitors and dialysers currently used in OL-HDF, a Qd higher than 500 ml/min is unhelpful for increasing the efficacy of Kt or infusion volume. Consequently, using a high Qd wastes water, a truly important resource both from the ecological and economic points of view.
- Publication
Nefrologia, 2015, Vol 35, Issue 6, p533
- ISSN
0211-6995
- Publication type
Article
- DOI
10.1016/j.nefro.2015.04.007