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E-raamat: Hemodialysis Technology

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This publication is a collection of the papers presented at the First International Course on Hemodialysis Technology, Vicenza, June 2002: It covers a wide range of topics, including aspects of vascular access and new forms of monitoring access function. Moreover, anticoagulation strategies and antimicrobial treatment are debated, with special emphasis on temporary catheters and prosthetic devices. Membrane composition and structure, their methods of sterilization and performance are discussed by experts and manufacturers, bringing together in a unique way science, theory and manufacturing procedures. The same synthesis is achieved with respect to hemodialyzers, adsorbent devices, dialysis techniques and machines. A new issue is the possibility of computer-assisted data collection and management: This subject is discussed by experts in electronic data management, together with managers of large dialysis networks, concentrating on matters of quality assurance and continuous quality improvement programs. Special attention is given to dialysate and water purity since this is the starting point for newer dialytic techniques such as online hemodiafiltration. Moreover, the results obtained from the IDOPPS study are incorporated into the discussion of different practice patterns and anemia management. Finally, future trends are explored including automatic sensors and biofeedback monitors. Covering various aspects of hemodialysis technology, this book will be a helpful tool for physicians and nurses, both for education and information.
Preface xi
Ronco, C.
La Greca, G.
Opening Remark
The Role of Technology in Hemodialysis
1(12)
Ronco, C.
La Greca, G.
Vascular Access
Vascular Access Use and Outcomes: Results from the DOPPS
13(7)
Pisoni, R.L.
How to Achieve a High Rate (90%) of Native Arteriovenous Fistulae
20(11)
Konner, K.
Diagnostic Methods for Vascular Access: Access Flow Measurements
31(7)
Leypoldt, J.K.
Temporary Vascular Access for Hemodialysis Treatment. Current Guidelines and Future Directions
38(8)
Weijmer, M.C.
ter Wee P.M.
Prosthetic Devices for Vascular Access
46(8)
Quarello, F.
Forneris, G.
Pozzato, M.
Effect of Hemodynamic Conditions on Arteriovenous Fistula for Hemodialysis Access
54(6)
Ene-Iordache, B.
Bruno, S.
Remuzzi, A.
Remuzzi, G.
Quality Assurance and Continuous Quality Improvement in the Management of Vascular Access
60(10)
Bosch, J.P.
Walters, B.A.J.
Dialysis Membranes
Membranes for Dialysis. Composition, Structure and Function
70(8)
Clark, W.R.
Gao, D.
Ronco, C.
Methods of Sterilisation and Their Effects on Membrane Performance and Safety
78(7)
Gavioli, G.
Gennari, M.
Bruns, S.
Nano-Controlled Membrane Spinning Technology: Regulation of Pore Size, Distribution and Morphology of a New Polysulfone Dialysis Membrane
85(10)
Bowry, S.K.
Vitamin E-Modified Dialyzers
95(11)
Galli, F.
Modified Cellulose Triacetate Membranes
106(5)
Masuda, T.
The AN69ST Dialysis Membrane. A New Approach for Reducing Systemic Heparinization
111(9)
Renaux, J.-L.
Atti, M.
Hemodialyzers
Flow Distribution and Cross Filtration in Hollow Fiber Hemodialyzers
120(9)
Ronco, C.
Brendolan, A.
Crepaldi, C.
Gastaldon, F.
Levin, N.W.
Optimal Use of Hemodialyzers
129(9)
Leypoldt, J.K.
Cheung, A.K.
Sterilization Procedures and Biocompatibility
138(8)
Rodriguez-Benot, A.
Santamaria, R.
Martin-Malo, A.
Aljama, P.
Computerized Selection of Membranes and Hemodialyzers
146(12)
Ronco, C.
Ghezzi, P.M.
Hoenich, N.A.
Delfino, P.
Adsorbents
Adsorbents: From Basic Structure to Clinical Application
158(7)
Ronco, C.
Bordoni, V.
Levin, N.W.
Biocompatibility of Sorbent Systems
165(5)
Hoenich, N.A.
Sorbent Augmented Dialysis Systems
170(11)
Winchester, F.J.
Ronco, C.
Salsberg, J.
Yousha, E.
Brady, J.A.
Cowgill, L.D.
Choquette, M.
Albright, R.
Clemmer, J.
Davankov, V.
Tsyurupa, M.
Pavlova, L.
Pavlov, M.
Cohen, G.
Horl, W.
Gotch, F.
Levin, N.W.
Use of Adsorbents in ARF Therapy
181(8)
Tetta, C.
Bellomo, R.
Formica, M.
Livigni, S.
Mariano, F.
Wratten, M.L.
Carraro, G.
Ronco, C.
Dialytic Techniques
Low Flux Dialysis? Still a Role
189(4)
Hoenich, N.A.
High-Flux Hemodialysis and Hemodiafiltration. Impact on Outcome
193(8)
Locatelli, F.
Pozzoni, P.
Manzoni, C.
Di Filippo, S.
On-Line Hemodiafiltration. Gold Standard or Top Therapy?
201(11)
Passlick-Deetjen
J. Pohlmeier, R.
New Options for On-Line Hemodiafiltration
212(9)
Tetta, C.
Ghezzi, P.M.
De Nitti, C.
Fiorenzi, A.
Cianciavicchia, D.
Gervasio, R.
On-Line Hemofiltration. Old Concept -- New Approach
221(6)
Ledebo, I.
The Ideal Hemodialysis Machine
227(6)
Polaschegg, H.-D.
Dialysis Machines, Monitoring and Biofeedback
Blood Volume Monitoring Systems and Biofeedback
233(12)
Santoro, A.
Mancini, E.
Blood Temperature Monitor: A Novel Tool in the Management of Dialysis-Induced Hypotension
245(9)
van der Sande, F.M.
Kooman, J.P.
Leunissen, K.M.L.
Optimization of Convection on Hemodiafiltration by Transmembrane Pressure Monitoring and Biofeedback
254(6)
Pedrini, L.A.
De Cristofaro, V.
Pagliari, B.
Filippini, M.
Ruggiero, P.
Potassium Profiling in Acetate-Free Biofiltration
260(8)
Santoro, A.
Mancini, E.
Fontanazzi, F.
Paolini, F.
On-Line Clearance: Advanced Methodology to Monitor Adequacy of Dialysis at No Cost
268(4)
Gotch, F.A.
Dry Weight Determination
272(7)
Levin, N.W.
Folden, T.
Zhu, F.
Ronco, C.
Data Acquisition and Management
Information Technology Applied to Hemodialysis
279(8)
Ronco, C.
Levin, N.W.
Milan, M.
Practical Approach to Data Collection in a European Dialysis Network
287(6)
Hegbrant, J.
Alper, A.
Bosch, J.P.
Data Management and Quality Assurance for Dialysis Network
293(7)
Marcelli, D.
Moscardo, V.
Steil, H.
Day, M.
Kirchgessner, J.
Mitteregger, A.
Orlandini, G.
Gatti, E.
Continuous Quality Improvement for a Hemodialysis Network
300(11)
Bosch, J.P.
Walters, B.A.J.
Pre-End-Stage Renal Disease and Dialysis Programs: The View of the Manager
311(6)
Donald, L.L.
Dialysis Quality and Composition
Water Treatment for Hemodialysis
317(8)
Cappelli, G.
Inguaggiato, P.
Ferramosca, E.
Albertazzi, A.
Dialysate Purity: A Must
325(7)
Ramirez, R.
Carracedo, J.
Martin-Malo, A.
Rodriguez, M.
Aljama, P.
On-Line Fluid Preparation
332(6)
Lonnemann, G.
Sodium Content and Profiling
338(6)
Locatelli, F.
Colzani, S.
Pozzoni, P.
Manzoni, C.
Di Filippo, S.
Dialysate/Infusate Composition and Infusion Mode in On-Line Hemodiafiltration
344(6)
Pedrini, L.A.
De Cristofaro, V.
Pagliari, B.
Ruggiero, P.
Dialysate/Infusate Calcium and Magnesium
350(7)
Vitale, C.
Marangella, M.
Ramello, A.
Dialysate/Infusate Buffer Modulation in Dialysis
357(7)
Feriani, M.
Chronic Inflammation
Chronic Inflammation: An Overview
364(7)
Levin, N.W.
Ronco, C.
Oxidant Stress in Hemodialysis Patients
371(8)
Galli, F.
Floridi, A.
Buoncristiani, U.
End-Stage Renal Disease: A Slowly Progressive Systemic Inflammatory Response Syndrome
379(7)
Ronco, C.
Levin, N.W.
LDL Modification during Hemodialysis. Markers for Oxidative Stress
386(10)
Sevanian, A.
Asatryan, L.
Anemia Management
Erythropoietin Therapy in Europe: Results from the DOPPS
396(7)
Pisoni, R.
Clinical Experience with Darbepoetin-Alfa (Aranesp®)
403(5)
Locatelli, F.
Del Vecchio, L.
Marai, P.
Once-Weekly Epoetin-Beta in Renal Anemia: The Clinical Evidence
408(4)
Albertazzi, A.
Iron Therapy in Hemodialysis Patients: How and When?
412(14)
Crepaldi, C.
Bordoni, V.
Carta, M.R.
Carnitine as Adjuvant Therapy in the Management of Renal Anemia
426(5)
Cianciaruso, B.
Torraca, S.
De Blasio, A.
Fiorillo, M.
Marino, R.
Erythropoietin Therapy and the Cardiovascular System
431(5)
Santoro, A.
Author Index 436(2)
Subject Index 438