CIN '2007 - 4o CONGRESSO DE NEFROLOGIA NA INTERNET

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Daily Hemodialysis – Update 2007

Dr Andreas Pierratos

Humber River Regional Hospital - University of Toronto

Abstract

The failure of a higher dialysis dose to improve patient survival in the HEMO and ADEMEX studies, using conventional thrice weekly hemodialysis or CAPD respectively, increased the interest in alternative dialysis schedules. The three main contenders include long (usually 8-hour) hemodialysis, which is performed thrice weekly or every other day or night, and the daily regimens which include short daily or nocturnal hemodialysis. Hemo(dia)filtration has also been attracting increased interest especially in Europe . This review will concentrate on the daily hemodialysis regimens.

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Comments:

• En Centro integral de nefrología, Angeles Santelena, utilizamos la hemodiálisis de alta eficiencia con filtros de alto flujo marca B/Braun @diacap polisulfona del número 18 en todos los pacientes, y se emplean tiempos de 4hrs promedio por sesión adecuado de forma individual, he observado que la calidad de vida resulta mejor cuando no hay restricciones en la dieta y se ajusta el tratamiento al paciente.
  Luis Antonio Bermudez Aceves
  centro integral de nefrología hospital ángeles Santelena - México

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