Intradialytic Tolerance and Recovery Time in Different High-Efficiency Hemodialysis Modalities DOI Open Access
Agnieszka Zakrzewska,

Jan Biedunkiewicz,

Michał Komorniczak

et al.

Published: Nov. 30, 2023

There are several forms of maintenance high-efficiency hemodialysis (HD) including hemodiafiltrations (HDF) in different technic modes and expanded HD using dialyzers with medium cut-off membranes. The aim the study was to assess intradialytic tolerance length dialysis recovery time (DRT) these modalities. This is an exploratory, cross-over patients low comorbidity no clinical indications for use HD, who were exposed five intermittent random order: high flux (S-HD), (HDx), pre-dilution HDF (PRE-HDF), mix-dilution (MIX-HDF) post-dilution (POST-HDF). 24 sessions each method included analysis. Dialysis parameters blood flow rate, fluid rate temperature, pharmacological treatment constant. Average total convection volume post-HDF, pre-HDF mix-HDF 25.6 (3.8), 61.5 (7.2) 47.1 (11.4) l, respectively. During all therapies, had similar hydration status monitored bioimpedance spectroscopy variability over systemic pressure, cardiac output, peripheral resistance impedance cardiography. lowest frequency adverse events observed during HDx. Delayed DRT shortest PRE-HDF. Patients also more likely report immediate while receiving These differences did not reach statistical significance, however results suggest that, may depend on used. support need taking into account patient preferences quality life individualizing efficiency therapy patients.

Language: Английский

Intradialytic Tolerance and Recovery Time in Different High-Efficiency Hemodialysis Modalities DOI Open Access
Agnieszka Zakrzewska,

Jan Biedunkiewicz,

Michał Komorniczak

et al.

Published: Nov. 30, 2023

There are several forms of maintenance high-efficiency hemodialysis (HD) including hemodiafiltrations (HDF) in different technic modes and expanded HD using dialyzers with medium cut-off membranes. The aim the study was to assess intradialytic tolerance length dialysis recovery time (DRT) these modalities. This is an exploratory, cross-over patients low comorbidity no clinical indications for use HD, who were exposed five intermittent random order: high flux (S-HD), (HDx), pre-dilution HDF (PRE-HDF), mix-dilution (MIX-HDF) post-dilution (POST-HDF). 24 sessions each method included analysis. Dialysis parameters blood flow rate, fluid rate temperature, pharmacological treatment constant. Average total convection volume post-HDF, pre-HDF mix-HDF 25.6 (3.8), 61.5 (7.2) 47.1 (11.4) l, respectively. During all therapies, had similar hydration status monitored bioimpedance spectroscopy variability over systemic pressure, cardiac output, peripheral resistance impedance cardiography. lowest frequency adverse events observed during HDx. Delayed DRT shortest PRE-HDF. Patients also more likely report immediate while receiving These differences did not reach statistical significance, however results suggest that, may depend on used. support need taking into account patient preferences quality life individualizing efficiency therapy patients.

Language: Английский

Citations

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