Dialysate Flow: Is the Less the Better?

Minimization of Qd is a matter of interest for our group not only in terms of dialysis efficiency and patient safety but also in terms of reduction of wastage in water. Since 2012, we have been prescribing Qd 400 mL/min for small patients, and we have already shared our experience [1, 2].We found no...

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Autores:
Tipo de recurso:
Fecha de publicación:
2020
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/25875
Acceso en línea:
https://doi.org/10.1159/000501389
https://repository.urosario.edu.co/handle/10336/25875
Palabra clave:
Dialysis
Efficiency and patient
Wastage in water
Phosphate
Hemoglobin
Potassium
Interdialytic
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Description
Summary:Minimization of Qd is a matter of interest for our group not only in terms of dialysis efficiency and patient safety but also in terms of reduction of wastage in water. Since 2012, we have been prescribing Qd 400 mL/min for small patients, and we have already shared our experience [1, 2].We found no differences in Kt/V, phosphate, hemoglobin, potassium, and interdialytic gain between our Qd groups Table 1 [3]. Recently we have successfully finished our 5-year analysis of mortality between Qd 400 and 500 mL/min in a chronic HD population in Colombia. Our results were shared in the ISN Congress next April in Melbourne in the poster session on the topic green nephrology as one of our Blue Planet dialysis initiative