Ronco’s book, a compendium of information, provides more proof that the field of hemodialysis continues to evolve. The latest evolution in the field of membranes is the development of innovative high retention onset (HRO) membranes due to the peculiar high sieving value in the middle to high molecular weight ranges. The introduction of HRU membranes in the clinical routine has allowed the development of a new therapy called “expanded hemodialysis” (HDx), which is the content of this book. Its simple set-up and application offers the possibility to use it even in patients with suboptimal vascular access or even with an indwelling catheter, all without the need for particular hardware or unusual nursing skill. He emphasizes that the quality of dialysis fluid is mandatory to ensure a safe conduction of the dialysis session. This new therapy is likely to modify the outcome of end-stage kidney disease patients because of the enhanced removal of molecules traditionally retained by current dialysis techniques. Ronco targets physicians who care for dialysis patients, and cites it as a tool for students and fellows to incorporate important information and to plan new experiments and new clinical trials on the innovative dialysis technique called HDx, made possible by the advanced HRO membrane and Theranova hemodialyzers. The new multidimensional classification is presented, offering the possibility to consider dialysis membranes from different points of view and using different reference parameters. Annotation ©2017 Ringgold, Inc., Portland, OR (protoview.com)
