Fluid Overload - Diagnosis and Management

Hemodiafiltration

Advances in End-Stage Renal Diseases 2004

Over the last decade, the availability of new devices and membranes has led to the development of modern hemodialysis techniques in which clinical tolerance and efficiency have significantly improved patient morbidity and mortality. Nevertheless, there are still limitations imposed by hemodialysis, manifested by the long-term complications occurring in patients treated for several years. Since most of these complications seem to be related to the chronic inflammation of ESRD patients and the progressive accumulation of middle-large molecules such as beta-2-microglobulin, GIP, leptin and others, a novel approach is needed, capable of adequately removing these substances from the body of the patient. New polymers with a biocompatible surface and high affinity for specific molecules have already been introduced to the market, and adsorption might in fact represent a new form of solute removal. Featuring articles by renowned experts, this volume provides the reader with a comprehensive summary of the most updated technology in the field of hemodialysis. New devices and techniques are described and discussed in detail, complemented by preliminary results; the rationale for adsorptive therapies completes the analysis. Residents and fellows, as well as staff physicians and members of the academic and scientific community involved in practice and research in the field of hemodialysis will find this book a valuable addition to their bookshelves.

Dialysis, Dialyzers And Sorbents. Where Are We Going ?

Membranes And Filters For Hemodialysis

This publication constitutes not only a supreme educational tool for young physicians, but it also offers an excellent update on the most recent clinical and technological aspects of hemodialysis in general: Apart from discussing several important issues in modern dialysis, it contains information on epidemiology as well as on current legislative and financial trends.
Among the crucial issues highlighted in this timely compilation are the cardiovascular response to fluid removal, dialysis prescription and its modification in relation to decline of residual renal function, the mechanisms of solute and water removal in different dialytic techniques and the possible limitations imposed by the present technology. Furthermore, the problem of chronic inflammation in hemodialysis patients and its interaction with nutrition and albumin turnover is discussed in depth, and new types of vascular access are dealt with in conjunction with the available methods of monitoring vascular access function. Urea kinetics and sodium modeling as well as a discussion of infections in dialysis patients round off the range of issues presented.
Covering a broad spectrum of topics, this book is a valuable reference work not only for physicians and nurses, but also for students and scientiste involved in hemodialysis and related biotechnology.

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