Consequences of increasing convection onto patient care and protein removal in hemodialysis.

Nathalie GayrardAlain FicheuxFlore DurantonCaroline GuzmanIlan SzwarcFernando VetromileChantal CazevieillePhilippe BrunetMarie-Françoise ServelÀngel ArgilésMoglie Le Quintrec

Published in: PloS one (2017)

Reaching high convection volumes as recommended by the recent RCTs (> 20L) is feasible by setting an HDF system at its optimal conditions based upon the GKD-UF monitoring. Prescribing higher convection volumes resulted in instability of the system, provoked alarms, was bothersome for the nursing staff and the patients, rarely achieved the prescribed convection volumes and increased removal of high molecular weight compounds, notably albumin.

Keyphrases

end stage renal disease
chronic kidney disease
ejection fraction
newly diagnosed
primary care
mental health
prognostic factors
emergency department
quality improvement
patient reported outcomes