Therapy for the insufficient cleansing of the BLOOD by the kidneys based on dialysis and including hemodialysis, PERITONEAL DIALYSIS, and HEMODIAFILTRATION.
Hospital units in which care is provided the hemodialysis patient. This includes hemodialysis centers in hospitals.
Those funds disbursed for facilities and equipment, particularly those related to the delivery of health care.
A compound that, along with its isomer, Cleland's reagent (DITHIOTHREITOL), is used for the protection of sulfhydryl groups against oxidation to disulfides and for the reduction of disulfides to sulfhydryl groups.
The end-stage of CHRONIC RENAL INSUFFICIENCY. It is characterized by the severe irreversible kidney damage (as measured by the level of PROTEINURIA) and the reduction in GLOMERULAR FILTRATION RATE to less than 15 ml per min (Kidney Foundation: Kidney Disease Outcome Quality Initiative, 2002). These patients generally require HEMODIALYSIS or KIDNEY TRANSPLANTATION.
Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure.
A process of selective diffusion through a membrane. It is usually used to separate low-molecular-weight solutes which diffuse through the membrane from the colloidal and high-molecular-weight solutes which do not. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Solutions prepared for exchange across a semipermeable membrane of solutes below a molecular size determined by the cutoff threshold of the membrane material.
Portable peritoneal dialysis using the continuous (24 hours a day, 7 days a week) presence of peritoneal dialysis solution in the peritoneal cavity except for periods of drainage and instillation of fresh solution.
INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs.
A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall.
Catheters designed to be left within an organ or passage for an extended period of time.
Solutions prepared for hemodialysis. The composition of the pre-dialysis solution may be varied in order to determine the effect of solvated metabolites on anoxia, malnutrition, acid-base balance, etc. Of principal interest are the effect of the choice of buffers (e.g., acetate or carbonate), the addition of cations (Na+, K+, Ca2+), and addition of carbohydrates (glucose).
The separation of particles from a suspension by passage through a filter with very fine pores. In ultrafiltration the separation is accomplished by convective transport; in DIALYSIS separation relies instead upon differential diffusion. Ultrafiltration occurs naturally and is a laboratory procedure. Artificial ultrafiltration of the blood is referred to as HEMOFILTRATION or HEMODIAFILTRATION (if combined with HEMODIALYSIS).
Body organ that filters blood for the secretion of URINE and that regulates ion concentrations.
Conditions in which the KIDNEYS perform below the normal level in the ability to remove wastes, concentrate URINE, and maintain ELECTROLYTE BALANCE; BLOOD PRESSURE; and CALCIUM metabolism. Renal insufficiency can be classified by the degree of kidney damage (as measured by the level of PROTEINURIA) and reduction in GLOMERULAR FILTRATION RATE.
A clinical syndrome associated with the retention of renal waste products or uremic toxins in the blood. It is usually the result of RENAL INSUFFICIENCY. Most uremic toxins are end products of protein or nitrogen CATABOLISM, such as UREA or CREATININE. Severe uremia can lead to multiple organ dysfunctions with a constellation of symptoms.
Conditions in which the LIVER functions fall below the normal ranges. Severe hepatic insufficiency may cause LIVER FAILURE or DEATH. Treatment may include LIVER TRANSPLANTATION.
Diseases of any component of the brain (including the cerebral hemispheres, diencephalon, brain stem, and cerebellum) or the spinal cord.
Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions.

Late referral of end-stage renal failure. (1/8259)

We studied all new patients accepted for renal replacement therapy (RRT) in one unit from 1/1/96 to 31/12/97 (n = 198), to establish time from nephrology referral to RRT, evidence of renal disease prior to referral and the adequacy of renal management prior to referral. Sixty four (32.3%, late referral group) required RRT within 12 weeks of referral. Fifty-nine (29.8%) had recognizable signs of chronic renal failure > 26 weeks prior to referral. Patients starting RRT soon after referral were hospitalized for significantly longer on starting RRT (RRT within 12 weeks of referral, median hospitalization 25.0 days (n = 64); RRT > 12 weeks after referral, median 9.7 days (n = 126), (p < 0.001)). Observed survival at 1 year was 68.3% overall, with 1-year survival of the late referral and early referral groups being 60.5% and 72.5%, respectively (p = NS). Hypertension was found in 159 patients (80.3%): 46 (28.9%) were started on antihypertensive medication following referral, while a further 28 (17.6%) were started on additional antihypertensives. Of the diabetic population (n = 78), only 26 (33.3%) were on an angiotensin-converting-enzyme inhibitor (ACEI) at referral. Many patients are referred late for dialysis despite early signs of renal failure, and the pre-referral management of many of the patients, as evidenced by the treatment of hypertension and use of ACEI in diabetics, is less than optimal.  (+info)

Impaired lysosomal processing of beta2-microglobulin by infiltrating macrophages in dialysis amyloidosis. (2/8259)

BACKGROUND: Macrophages may participate in amyloid fibril formation by processing the protein precursor. Although this theory seems to apply for amyloidosis, in which proteolytic cleavage is a prerequisite for amyloid fibril formation, it has not been demonstrated for beta2-microglobulin (beta2m) amyloidosis. We aimed to establish the role played by macrophages in beta2m amyloidosis. METHODS: We used a double immunogold electron microscopy technique, including mouse antihuman CD68, rabbit antihuman beta2m, amyloid P component, and lysosome-associated membrane protein (LAMP-1) antibodies. Differential density labeling studies of beta2m and amyloid P component were performed extra- and intracellularly to assess protein processing by macrophages. RESULTS: The cells surrounding amyloid fibrils were found to be mostly CD68 positive, suggesting that they were of monocyte-macrophage lineage. Intracellular accumulation of amyloid fibrils was also observed; these fibrils were constantly surrounded by LAMP-1-linked gold particles, demonstrating that intracellular beta2m was almost exclusively lysosomal. The rough-surface endoplasmic reticulum was not labeled by beta2m antibody, suggesting that there was no active synthesis of beta2m by the cells. As a marker of endocytosis, protruded cytoplasmic processes in close relation with the intracellular accumulations of beta2m amyloid fibrils were observed. No difference in density labeling (extracellular vs. intracellular) was observed for beta2m, whereas intracellular P component labeling was significantly decreased. CONCLUSIONS: All of these data are strongly suggestive of phagocytosis and not synthesis of amyloid fibrils by macrophages. Further, they demonstrate an impaired lysosomal processing specific for beta2m, as other compounds of the amyloid fibrils (P component) are significantly cleared.  (+info)

Septicemia in dialysis patients: incidence, risk factors, and prognosis. (3/8259)

BACKGROUND: Infection is second to cardiovascular disease as a cause of death in patients with end-stage renal disease (ESRD), and septicemia causes a majority of these infectious deaths. To identify patients at high risk and to characterize modifiable risk factors for septicemia, we examined the incidence, risk factors, and prognosis for septicemia in a large, representative group of U.S. dialysis patients. METHODS: We conducted a longitudinal cohort study of incident ESRD patients in the case-mix study of the U.S. Renal Data System with seven years of follow-up from hospitalization and death records. Poisson regression was used to examine independent risk factors for hospital-managed septicemia. Cox proportional hazards analysis was used to assess the independent effect of septicemia on all-cause mortality and on death from septicemia. Separate analyses were performed for patients on peritoneal dialysis (PD) and hemodialysis (HD). RESULTS: Over seven years of follow-up, 11.7% of 4005 HD patients and 9.4% of 913 PD patients had at least one episode of septicemia. Older age and diabetes were independent risk factors for septicemia in all patients. Among HD patients, low serum albumin, temporary vascular access, and dialyzer reuse were also associated with increased risk. Among PD patients, white race and having no health insurance at dialysis initiation were also risk factors. Patients with septicemia had twice the risk of death from any cause and a fivefold to ninefold increased risk of death from septicemia. CONCLUSIONS: Septicemia, which carries a marked increased risk of death, occurs frequently in patients on PD as well as HD. Early referral to a nephrologist, improving nutrition, and avoiding temporary vascular access may decrease the incidence of septicemia. Further study of how race, insurance status, and dialyzer reuse can contribute to the risk of septicemia among ESRD patients is indicated.  (+info)

Hemodialysis with high-calcium dialysate impairs cardiac relaxation. (4/8259)

BACKGROUND: During hemodialysis (HD), serum ionized calcium is directly related to the dialysate calcium concentration. We have recently shown an acute induction of hypercalcemia to impair left ventricular (LV) relaxation. In the current study we sought to establish whether changes in serum Ca++ also affect LV function during HD. METHODS: We echocardiographically examined the LV relaxation and systolic function of 12 patients with end-stage renal disease before and after three HD treatments with dialysate Ca++ concentrations of 1.25 mmol/liter (dCa++1.25), 1.5 mmol/liter (dCa++1.50), and 1.75 mmol/liter (dCa++1.75), respectively. Age- and sex-matched healthy controls were also examined echocardiographically. RESULTS: The LV posterior wall thickness and the interventricular septum thickness, and the LV end-diastolic dimension and the end-systolic dimensions were significantly greater in the patients when compared with the controls, and the LV fractional shortening, the ratio of peak early to peak late diastolic velocities (E/Amax), and the isovolumic relaxation time (IVRT) showed impairment of LV relaxation and systolic function in the patients. Serum ionized calcium increased significantly during the dCa++1.5 HD (1.24 +/- 0.10 vs. 1.34 +/- 0.06 mmol/liter, P = 0. 004) and dCa++1.75 HD (1.19 +/- 0.10 vs. 1.47 +/- 0.06 mmol/liter, P = 0.002), and plasma intact parathyroid hormone decreased significantly during the dCa++1.75 HD (medians 8.2 vs. 2.7 pmol/liter, P = 0.002). LV systolic function was not altered during any of the treatments. The changes in E/Amax and IVRT suggested impairment of relaxation during all sessions, but only during the dCa++1.75 HD was the impairment statistically significant (E/Amax 1. 153 +/- 0.437 vs. 0.943 +/- 0.352, P < 0.05; IVRT 147 +/- 29 vs. 175 +/- 50 msecond, P < 0.05). CONCLUSION: HD with high-calcium (dCa++1. 75 mmol/liter) dialysate impairs LV relaxation when compared with lower calcium dialysate (dCa++1.25 and dCa++1.5 mmol/liter) treatments.  (+info)

Activation of the kallikrein-kinin system in hemodialysis: role of membrane electronegativity, blood dilution, and pH. (5/8259)

BACKGROUND: The kallikrein-kinin system activation by contact with a negatively charged surface has been promulgated to be responsible for hypersensitivity reactions. However, to explain the low frequency and heterogeneity of hypersensitivity reactions, we hypothesized that not only the electronegativity of the membrane, but also other physicochemical parameters could influence the activation of the contact phase system of plasma assessed by the measurement of kallikrein activity and bradykinin concentration. METHODS: Plasma kallikrein activity using chromogenic substrate (S2302) and plasma bradykinin concentration (enzyme immuno assay) were measured during the perfusion of human plasma (2.5 ml/min) through minidialyzers mounted with six different membranes [polyacrylonitrile (PAN) from Asahi (PANDX) and from Hospal (AN69), polymethylmethacrylate (PMMA) from Toray, cellulose triacetate (CT) from Baxter, cuprophane (CUP) from Akzo and polysulfone (PS) from Fresenius]. RESULTS: A direct relationship was shown between the electronegativity of the membrane assessed by its zeta potential and the activation of plasma during the first five minutes of plasma circulation. With the AN69 membrane, the detection of a kallikrein activity in diluted plasma but not in undiluted samples confirmed the importance of a protease-antiprotease imbalance leading to bradykinin release during the first five minutes of dialysis. With PAN membranes, the use of citrated versus heparinized plasma and the use of various rinsing solutions clearly show a dramatic effect of pH on the kallikrein activity and the bradykinin concentration measured in plasma. Finally, increasing the zeta potential of the membrane leads to a significant increase of plasma kallikrein activity and bradykinin concentration. CONCLUSIONS: Our in vitro experimental approach evidences the importance of the control of these physicochemical factors to decrease the activation of the contact system.  (+info)

Practice patterns, case mix, Medicare payment policy, and dialysis facility costs. (6/8259)

OBJECTIVE: To evaluate the effects of case mix, practice patterns, features of the payment system, and facility characteristics on the cost of dialysis. DATA SOURCES/STUDY SETTING: The nationally representative sample of dialysis units in the 1991 U.S. Renal Data System's Case Mix Adequacy (CMA) Study. The CMA data were merged with data from Medicare Cost Reports, HCFA facility surveys, and HCFA's end-stage renal disease patient registry. STUDY DESIGN: We estimated a statistical cost function to examine the determinants of costs at the dialysis unit level. PRINCIPAL FINDINGS: The relationship between case mix and costs was generally weak. However, dialysis practices (type of dialysis membrane, membrane reuse policy, and treatment duration) did have a significant effect on costs. Further, facilities whose payment was constrained by HCFA's ceiling on the adjustment for area wage rates incurred higher costs than unconstrained facilities. The costs of hospital-based units were considerably higher than those of freestanding units. Among chain units, only members of one of the largest national chains exhibited significant cost savings relative to independent facilities. CONCLUSIONS: Little evidence showed that adjusting dialysis payment to account for differences in case mix across facilities would be necessary to ensure access to care for high-cost patients or to reimburse facilities equitably for their costs. However, current efforts to increase dose of dialysis may require higher payments. Longer treatments appear to be the most economical method of increasing the dose of dialysis. Switching to more expensive types of dialysis membranes was a more costly means of increasing dose and hence must be justified by benefits beyond those of higher dose. Reusing membranes saved money, but the savings were insufficient to offset the costs associated with using more expensive membranes. Most, but not all, of the higher costs observed in hospital-based units appear to reflect overhead cost allocation rather than a difference in real resources devoted to treatment. The economies experienced by the largest chains may provide an explanation for their recent growth in market share. The heterogeneity of results by chain size implies that characterizing units using a simple chain status indicator variable is inadequate. Cost differences by facility type and the effects of the ongoing growth of large chains are worthy of continued monitoring to inform both payment policy and antitrust enforcement.  (+info)

Ex vivo evaluation of a Taylor-Couette flow, immobilized heparinase I device for clinical application. (7/8259)

Efficient and safe heparin anticoagulation has remained a problem for continuous renal replacement therapies and intermittent hemodialysis for patients with acute renal failure. To make heparin therapy safer for the patient with acute renal failure at high risk of bleeding, we have proposed regional heparinization of the circuit via an immobilized heparinase I filter. This study tested a device based on Taylor-Couette flow and simultaneous separation/reaction for efficacy and safety of heparin removal in a sheep model. Heparinase I was immobilized onto agarose beads via cyanogen bromide activation. The device, referred to as a vortex flow plasmapheretic reactor, consisted of two concentric cylinders, a priming volume of 45 ml, a microporous membrane for plasma separation, and an outer compartment where the immobilized heparinase I was fluidized separately from the blood cells. Manual white cell and platelet counts, hematocrit, total protein, and fibrinogen assays were performed. Heparin levels were indirectly measured via whole-blood recalcification times (WBRTs). The vortex flow plasmapheretic reactor maintained significantly higher heparin levels in the extracorporeal circuit than in the sheep (device inlet WBRTs were 1. 5 times the device outlet WBRTs) with no hemolysis. The reactor treatment did not effect any physiologically significant changes in complete blood cell counts, platelets, and protein levels for up to 2 hr of operation. Furthermore, gross necropsy and histopathology did not show any significant abnormalities in the kidney, liver, heart, brain, and spleen.  (+info)

Hepatitis virus infection in haemodialysis patients from Moldavia. (8/8259)

BACKGROUND: Although the epidemiology of hepatitis B (HBV) and C (HCV) now seems well established for Western European countries, in Central and Eastern Europe < 50% of all dialysis centres routinely test for hepatitis C antibodies since testing is not available or is not applied to all patients. This study describes the prevalence, risk factors and clinical significance of HBV and HCV infection for the haemodialysis population of the North Eastern region of Romania, Moldavia. METHODS: The presence of HBV antigens was determined with an ELISA kit (Wellcome, Abbot) and HCV antibodies with the ELISA-3 Ortho-HCV, third generation test. The following individual data were collected: gender, age, duration of dialysis, rural/urban domicile, actual and previous HBV status, actual HCV status, known acute, clinically evident hepatitis episodes in the last 3 years, monthly alanine aminotransferase (ALAT) and aspartate aminotransferase (ASAT) levels, complete biochemical hepatic assessment at the time of the study, transfusions for the past 3 years and family history. RESULTS: HBV and HCV prevalences were 17% (stable over the last 3 years) and 75%, respectively; co-infection was seen in 10% of the subjects. Hospitalization (nosocomial infection) for HBV, blood transfusions and duration on dialysis for HCV, emerged as the main risk factors for hepatitis infection. Socio-economic conditions appear to be equally important for HCV infection, since the prevalence was significantly higher among patients from rural, underdeveloped areas than urban areas (80.8 vs 60.3%), and infection was already present in a large proportion of patients (47%) before starting dialysis, without being related to previous disease duration or blood transfusions. HBV and/or HCV was not associated with a worse clinical or biochemical profile at the time of the study. However, infected patients had significantly more previous cytolytic episodes, with higher, transient increases in ALAT and ASAT levels. CONCLUSIONS: HCV infection is endemic among dialysis centres in Moldavia. Apart from previously well-known risk factors for hepatitis infection, our study demonstrates the negative impact of socio-economic underdevelopment. Simple measures such as enforced general asepsia rules, careful disinfection and equipment sterilization, routine testing of patients from economically disadvantaged areas and monthly, serial determination of hepatic enzymes should be the common practice in dialysis centres in Romania.  (+info)

Renal dialysis is a medical procedure that is used to artificially remove waste products, toxins, and excess fluids from the blood when the kidneys are no longer able to perform these functions effectively. This process is also known as hemodialysis.

During renal dialysis, the patient's blood is circulated through a special machine called a dialyzer or an artificial kidney, which contains a semi-permeable membrane that filters out waste products and excess fluids from the blood. The cleaned blood is then returned to the patient's body.

Renal dialysis is typically recommended for patients with advanced kidney disease or kidney failure, such as those with end-stage renal disease (ESRD). It is a life-sustaining treatment that helps to maintain the balance of fluids and electrolytes in the body, prevent the buildup of waste products and toxins, and control blood pressure.

There are two main types of renal dialysis: hemodialysis and peritoneal dialysis. Hemodialysis is the most common type and involves using a dialyzer to filter the blood outside the body. Peritoneal dialysis, on the other hand, involves placing a catheter in the abdomen and using the lining of the abdomen (peritoneum) as a natural filter to remove waste products and excess fluids from the body.

Overall, renal dialysis is an essential treatment option for patients with kidney failure, helping them to maintain their quality of life and prolong their survival.

Hemodialysis units in a hospital setting are specialized departments or facilities that provide hemodialysis treatment to patients with kidney failure. Hemodialysis is a process of purifying the blood of waste products and excess fluids using a machine (hemodialysis machine) and a semi-permeable membrane (dialyzer). The procedure typically involves accessing the patient's bloodstream through a surgically created vascular access, such as a fistula or graft, and passing the blood through the dialyzer to remove waste products and excess fluids.

Hospital hemodialysis units are staffed by trained healthcare professionals, including nephrologists (kidney specialists), nurses, technicians, and support personnel. These units provide inpatient and outpatient services for patients who require hemodialysis due to acute or chronic kidney failure, as well as those who need dialysis while hospitalized for other medical conditions.

Hospital hemodialysis units may offer various types of hemodialysis treatments, including conventional hemodialysis, high-flux hemodialysis, hemofiltration, and hemodiafiltration. They also provide education and support to patients and their families regarding dialysis treatment options, lifestyle modifications, and long-term management of kidney disease.

Capital expenditures, also known as capital expenses or CapEx, refer to the funds used by a company to acquire, upgrade, and maintain physical assets such as property, buildings, machinery, and equipment. These expenditures are considered long-term investments and are intended to enhance the company's ability to generate future revenue and profits.

Capital expenditures are typically significant in amount and are recorded on a company's balance sheet as assets, rather than being expensed immediately on the income statement. Instead, the cost of these assets is gradually expensed over their useful life through depreciation or amortization.

Examples of capital expenditures include purchasing new manufacturing equipment, constructing a new building, renovating an existing facility, or upgrading computer systems and software. These types of expenses are often necessary for a company to remain competitive and grow its business over time.

Dithioerythritol is a chemical compound with the formula (HOCH₂)₂SS(CHOH)₂. It is a colorless, viscous liquid that is used as a reducing agent and antioxidant in various industrial and laboratory applications. In the medical field, it has been studied for its potential use as an anti-inflammatory and antiviral agent, although it is not currently approved for use as a drug. It may also be used as a reagent in diagnostic tests and as a solvent in pharmaceutical preparations.

Chronic kidney failure, also known as chronic kidney disease (CKD) stage 5 or end-stage renal disease (ESRD), is a permanent loss of kidney function that occurs gradually over a period of months to years. It is defined as a glomerular filtration rate (GFR) of less than 15 ml/min, which means the kidneys are filtering waste and excess fluids at less than 15% of their normal capacity.

CKD can be caused by various underlying conditions such as diabetes, hypertension, glomerulonephritis, polycystic kidney disease, and recurrent kidney infections. Over time, the damage to the kidneys can lead to a buildup of waste products and fluids in the body, which can cause a range of symptoms including fatigue, weakness, shortness of breath, nausea, vomiting, and confusion.

Treatment for chronic kidney failure typically involves managing the underlying condition, making lifestyle changes such as following a healthy diet, and receiving supportive care such as dialysis or a kidney transplant to replace lost kidney function.

Peritoneal dialysis is a type of renal replacement therapy used to treat patients with severe kidney dysfunction or end-stage renal disease. It is a process that utilizes the peritoneum, a membranous sac lining the abdominal cavity, as a natural semipermeable membrane for filtering waste products, excess fluids, and electrolytes from the bloodstream.

In peritoneal dialysis, a sterile dialysate solution is infused into the peritoneal cavity via a permanently implanted catheter. The dialysate contains various substances such as glucose or other osmotic agents, electrolytes, and buffer solutions that facilitate the diffusion of waste products and fluids from the blood vessels surrounding the peritoneum into the dialysate.

There are two primary types of peritoneal dialysis: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). CAPD is performed manually, several times a day, while APD is carried out using a cycler machine overnight.

Peritoneal dialysis offers certain advantages over hemodialysis, such as better preservation of residual renal function, fewer dietary restrictions, and greater flexibility in scheduling treatments. However, it also has potential complications, including peritonitis (inflammation of the peritoneum), catheter-related infections, fluid imbalances, and membrane failure over time.

Dialysis is a medical treatment that is used to remove waste and excess fluid from the blood when the kidneys are no longer able to perform these functions effectively. This life-sustaining procedure uses a specialized machine, called a dialyzer or artificial kidney, to filter the blood outside of the body and return clean, chemically balanced blood back into the body.

There are two main types of dialysis: hemodialysis and peritoneal dialysis.

1. Hemodialysis: In this method, a patient's blood is passed through an external filter (dialyzer) that removes waste products, toxins, and excess fluids. The cleaned blood is then returned to the body with the help of a specialized machine. Hemodialysis typically requires access to a large vein, often created by a surgical procedure called an arteriovenous (AV) fistula or graft. Hemodialysis sessions usually last for about 3-5 hours and are performed three times a week in a clinical setting, such as a dialysis center or hospital.
2. Peritoneal Dialysis: This method uses the lining of the patient's own abdomen (peritoneum) as a natural filter to clean the blood. A sterile dialysate solution is introduced into the peritoneal cavity via a permanently implanted catheter. The solution absorbs waste products and excess fluids from the blood vessels lining the peritoneum through a process called diffusion. After a dwell time, usually several hours, the used dialysate is drained out and replaced with fresh dialysate. This process is known as an exchange and is typically repeated multiple times throughout the day or night, depending on the specific type of peritoneal dialysis (continuous ambulatory peritoneal dialysis or automated peritoneal dialysis).

Both methods have their advantages and disadvantages, and the choice between them depends on various factors, such as a patient's overall health, lifestyle, and personal preferences. Dialysis is a life-saving treatment for people with end-stage kidney disease or severe kidney dysfunction, allowing them to maintain their quality of life and extend their lifespan until a kidney transplant becomes available or their kidney function improves.

Dialysis solutions are fluids that are used during the process of dialysis, which is a treatment for patients with kidney failure. The main function of these solutions is to help remove waste products and excess fluid from the bloodstream, as the kidneys are no longer able to do so effectively.

The dialysis solution typically contains a mixture of water, electrolytes (such as sodium, potassium, chloride, and bicarbonate), and a small amount of glucose. The composition of the solution may vary depending on the individual patient's needs, but it is carefully controlled to match the patient's blood as closely as possible.

During dialysis, the patient's blood is circulated through a special filter called a dialyzer, which separates waste products and excess fluids from the blood. The used dialysis solution, which contains these waste products and excess fluids, is then discarded. Fresh dialysis solution is continuously introduced into the dialyzer to replace the used solution, creating a continuous flow of fluid that helps remove waste products and maintain the proper balance of electrolytes in the patient's blood.

Overall, dialysis solutions play a critical role in helping patients with kidney failure maintain their health and quality of life.

Peritoneal dialysis, continuous ambulatory (CAPD), is a type of renal replacement therapy used to treat patients with end-stage kidney disease. It is a form of peritoneal dialysis that is performed continuously, without the need for machines or hospitalization. CAPD uses the patient's own peritoneum, a thin membrane that lines the abdominal cavity, as a natural filter to remove waste products and excess fluids from the bloodstream.

In CAPD, a sterile dialysis solution is introduced into the peritoneal cavity through a permanent catheter implanted in the patient's abdomen. The solution remains in the peritoneal cavity for a dwell time of several hours, during which diffusion occurs across the peritoneal membrane, allowing waste products and excess fluids to move from the bloodstream into the dialysis solution.

After the dwell time, the used dialysis solution is drained from the peritoneal cavity and discarded, and a fresh batch of dialysis solution is introduced. This process is typically repeated four to five times a day, with each exchange taking about 30 minutes to complete. Patients can perform CAPD exchanges while going about their daily activities, making it a convenient and flexible treatment option for many patients with end-stage kidney disease.

Overall, CAPD is a highly effective form of dialysis that offers several advantages over other types of renal replacement therapy, including improved quality of life, better preservation of residual kidney function, and lower costs. However, it does require careful attention to sterile technique and regular monitoring to ensure proper functioning of the peritoneal membrane and adequate clearance of waste products and fluids.

Peritonitis is a medical condition characterized by inflammation of the peritoneum, which is the serous membrane that lines the inner wall of the abdominal cavity and covers the abdominal organs. The peritoneum has an important role in protecting the abdominal organs and providing a smooth surface for them to move against each other.

Peritonitis can occur as a result of bacterial or fungal infection, chemical irritation, or trauma to the abdomen. The most common cause of peritonitis is a rupture or perforation of an organ in the abdominal cavity, such as the appendix, stomach, or intestines, which allows bacteria from the gut to enter the peritoneal cavity.

Symptoms of peritonitis may include abdominal pain and tenderness, fever, nausea and vomiting, loss of appetite, and decreased bowel movements. In severe cases, peritonitis can lead to sepsis, a life-threatening condition characterized by widespread inflammation throughout the body.

Treatment for peritonitis typically involves antibiotics to treat the infection, as well as surgical intervention to repair any damage to the abdominal organs and remove any infected fluid or tissue from the peritoneal cavity. In some cases, a temporary or permanent drain may be placed in the abdomen to help remove excess fluid and promote healing.

The peritoneum is the serous membrane that lines the abdominal cavity and covers the abdominal organs. It is composed of a mesothelial cell monolayer supported by a thin, loose connective tissue. The peritoneum has two layers: the parietal peritoneum, which lines the abdominal wall, and the visceral peritoneum, which covers the organs.

The potential space between these two layers is called the peritoneal cavity, which contains a small amount of serous fluid that allows for the smooth movement of the organs within the cavity. The peritoneum plays an important role in the absorption and secretion of fluids and electrolytes, as well as providing a surface for the circulation of immune cells.

In addition, it also provides a route for the spread of infection or malignant cells throughout the abdominal cavity, known as peritonitis. The peritoneum is highly vascularized and innervated, making it sensitive to pain and distention.

Indwelling catheters, also known as Foley catheters, are medical devices that are inserted into the bladder to drain urine. They have a small balloon at the tip that is inflated with water once the catheter is in the correct position in the bladder, allowing it to remain in place and continuously drain urine. Indwelling catheters are typically used for patients who are unable to empty their bladders on their own, such as those who are bedridden or have nerve damage that affects bladder function. They are also used during and after certain surgical procedures. Prolonged use of indwelling catheters can increase the risk of urinary tract infections and other complications.

Hemodialysis solutions are sterile, pyrogen-free fluids used in the process of hemodialysis, a renal replacement therapy for patients with kidney failure. These solutions are formulated to remove waste products and excess fluid from the blood by means of diffusion and osmosis across a semipermeable membrane.

The primary components of hemodialysis solutions include:

1. Electrolytes: Sodium, potassium, chloride, calcium, and magnesium ions are present in concentrations that aim to restore normal levels in the body or to correct for abnormalities in patients' serum electrolyte levels.
2. Buffer: Bicarbonate or acetate is added as a buffer to maintain the pH of the dialysate and prevent acidification of the blood during hemodialysis.
3. Glucose: A small amount of glucose may be included in the solution to provide energy for the patient.
4. Water: Ultrapure water is used to prepare the solution, free from microbial contaminants and endotoxins.

Hemodialysis solutions are available in different concentrations and formulations to address individual patient needs and specific clinical situations. The composition of these solutions must be carefully controlled to ensure their effectiveness and safety during hemodialysis treatments.

Ultrafiltration is a medical process that separates fluids and dissolved solutes based on their size and charge. It's a type of membrane filtration that uses a semipermeable membrane with pores small enough to allow the passage of water and low molecular weight solutes, while retaining larger molecules and cells.

In clinical practice, ultrafiltration is often used in patients with acute or chronic kidney failure to remove excess fluid from the bloodstream, a process known as renal replacement therapy or dialysis. During this procedure, the patient's blood is passed through a hollow fiber membrane, and pressure differences across the membrane cause water and small solutes to move through the pores, while larger molecules such as proteins and cells are retained.

Ultrafiltration can also be used in other medical contexts, such as plasma exchange or therapeutic apheresis, where specific components of the blood are removed for therapeutic purposes.

A kidney, in medical terms, is one of two bean-shaped organs located in the lower back region of the body. They are essential for maintaining homeostasis within the body by performing several crucial functions such as:

1. Regulation of water and electrolyte balance: Kidneys help regulate the amount of water and various electrolytes like sodium, potassium, and calcium in the bloodstream to maintain a stable internal environment.

2. Excretion of waste products: They filter waste products from the blood, including urea (a byproduct of protein metabolism), creatinine (a breakdown product of muscle tissue), and other harmful substances that result from normal cellular functions or external sources like medications and toxins.

3. Endocrine function: Kidneys produce several hormones with important roles in the body, such as erythropoietin (stimulates red blood cell production), renin (regulates blood pressure), and calcitriol (activated form of vitamin D that helps regulate calcium homeostasis).

4. pH balance regulation: Kidneys maintain the proper acid-base balance in the body by excreting either hydrogen ions or bicarbonate ions, depending on whether the blood is too acidic or too alkaline.

5. Blood pressure control: The kidneys play a significant role in regulating blood pressure through the renin-angiotensin-aldosterone system (RAAS), which constricts blood vessels and promotes sodium and water retention to increase blood volume and, consequently, blood pressure.

Anatomically, each kidney is approximately 10-12 cm long, 5-7 cm wide, and 3 cm thick, with a weight of about 120-170 grams. They are surrounded by a protective layer of fat and connected to the urinary system through the renal pelvis, ureters, bladder, and urethra.

Renal insufficiency, also known as kidney failure, is a medical condition in which the kidneys are unable to properly filter waste products and excess fluids from the blood. This results in a buildup of these substances in the body, which can cause a variety of symptoms such as weakness, shortness of breath, and fluid retention. Renal insufficiency can be acute, meaning it comes on suddenly, or chronic, meaning it develops over time. It is typically diagnosed through blood tests, urine tests, and imaging studies. Treatment may include medications to control symptoms, dietary changes, and in severe cases, dialysis or a kidney transplant.

Uremia is not a disease itself, but rather it's a condition that results from the buildup of waste products in the blood due to kidney failure. The term "uremia" comes from the word "urea," which is one of the waste products that accumulate when the kidneys are not functioning properly.

In uremia, the kidneys are unable to effectively filter waste and excess fluids from the blood, leading to a variety of symptoms such as nausea, vomiting, fatigue, itching, mental confusion, and ultimately, if left untreated, can lead to coma and death. It is a serious condition that requires immediate medical attention, often involving dialysis or a kidney transplant to manage the underlying kidney dysfunction.

Hepatic insufficiency, also known as liver insufficiency, refers to the reduced ability of the liver to perform its vital functions due to damage or disease. The liver plays a crucial role in metabolism, detoxification, synthesis, storage, and secretion. When it becomes insufficient, it can lead to various complications such as:

1. Impaired metabolism of carbohydrates, fats, and proteins
2. Buildup of toxic substances in the blood due to reduced detoxification capacity
3. Decreased synthesis of essential proteins, including clotting factors
4. Reduced glycogen storage and impaired glucose regulation
5. Fluid accumulation in the abdomen (ascites) and legs (edema) due to decreased production of albumin and increased pressure in the portal vein
6. Impaired immune function, making the individual more susceptible to infections
7. Hormonal imbalances leading to various symptoms such as changes in appetite, weight loss, and sexual dysfunction

Hepatic insufficiency can range from mild to severe, and if left untreated, it may progress to liver failure, a life-threatening condition requiring immediate medical attention.

Central nervous system (CNS) diseases refer to medical conditions that primarily affect the brain and spinal cord. The CNS is responsible for controlling various functions in the body, including movement, sensation, cognition, and behavior. Therefore, diseases of the CNS can have significant impacts on a person's quality of life and overall health.

There are many different types of CNS diseases, including:

1. Infectious diseases: These are caused by viruses, bacteria, fungi, or parasites that infect the brain or spinal cord. Examples include meningitis, encephalitis, and polio.
2. Neurodegenerative diseases: These are characterized by progressive loss of nerve cells in the brain or spinal cord. Examples include Alzheimer's disease, Parkinson's disease, and Huntington's disease.
3. Structural diseases: These involve damage to the physical structure of the brain or spinal cord, such as from trauma, tumors, or stroke.
4. Functional diseases: These affect the function of the nervous system without obvious structural damage, such as multiple sclerosis and epilepsy.
5. Genetic disorders: Some CNS diseases are caused by genetic mutations, such as spinal muscular atrophy and Friedreich's ataxia.

Symptoms of CNS diseases can vary widely depending on the specific condition and the area of the brain or spinal cord that is affected. They may include muscle weakness, paralysis, seizures, loss of sensation, difficulty with coordination and balance, confusion, memory loss, changes in behavior or mood, and pain. Treatment for CNS diseases depends on the specific condition and may involve medications, surgery, rehabilitation therapy, or a combination of these approaches.

Acute kidney injury (AKI), also known as acute renal failure, is a rapid loss of kidney function that occurs over a few hours or days. It is defined as an increase in the serum creatinine level by 0.3 mg/dL within 48 hours or an increase in the creatinine level to more than 1.5 times baseline, which is known or presumed to have occurred within the prior 7 days, or a urine volume of less than 0.5 mL/kg per hour for six hours.

AKI can be caused by a variety of conditions, including decreased blood flow to the kidneys, obstruction of the urinary tract, exposure to toxic substances, and certain medications. Symptoms of AKI may include decreased urine output, fluid retention, electrolyte imbalances, and metabolic acidosis. Treatment typically involves addressing the underlying cause of the injury and providing supportive care, such as dialysis, to help maintain kidney function until the injury resolves.

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Replacement of Renal Function by Dialysis. Springer. ISBN 978-1-4020-0083-6. Retrieved 13 January 2009. Deccan Herald. "From a ... His professional achievement was to transport two cadaver donor kidneys from New York to Bombay, and participate in the renal ... Rao, TK Sreepada (2004). "Human Immunodeficiency Virus in Patients with End Stage Renal Disease". In Hörl, Walter H; Koch, K M ... He was also consultant for the Governor of Pondicherry who suffered renal insufficiency. For his achievements he has been ...
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"Renal dialysis unit for Llandrindod Wells hospital". BBC. 14 November 2011. Retrieved 26 March 2020. "Council minutes" (PDF). ... A new 16-bed renal unit opened at the hospital in spring 2012 and a new Ithon birthing unit opened there in spring 2017. " ...
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"Scleromyxoedema-like cutaneous diseases in renal-dialysis patients". Lancet. 356 (9234): 1000-1. doi:10.1016/S0140-6736(00) ... Performing dialysis immediately after the MRI exam is recommended for patients already in dialysis treatment, but there is no ... Renal Physiology. 311 (1): F1-F11. doi:10.1152/ajprenal.00166.2016. PMC 4967166. PMID 27147669. Kalb RE, Helm TN, Sperry H, ... The only known measure for prevention of NSF is the non-use or cautious use of GBCAs in patients with renal impairment, ...
European Renal Association/European Dialysis and Transplant Association. Retrieved 3 March 2019. "History UK Renal Association ... He eventually became professor of renal medicine. While at Cornell University in 1962, he became interested in dialysis. He has ... European Dialysis and Transplant Association (ERA/EDTA) from 1984-87, the UK Renal Association from 1992-95, and the ... 2009). History of Dialysis in the UK: c. 1950-1980. Wellcome Witnesses to Contemporary Medicine. History of Modern Biomedicine ...
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1974 saw the first renal dialysis at the hospital. In 1982 the Queen Elizabeth Hospital came under the control of the West ...
"European Renal Association-European Dialysis and Transplant Association Registry". ERA-EDTA Registry Annual Report 2009. The ... Patients with aHUS who have ESRD are generally consigned to lifelong dialysis, which carries a 5-year survival rate of 34-38%, ... Including subsequent relapses, a total of approximately two-thirds (65%) of patients died, required dialysis, or had permanent ... Klevens, RM; Edwards, JR; Andrus, ML; Peterson, KD; Dudeck, MA; Horan, TC; NHSN Participants in Outpatient Dialysis ...
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European Renal Association- European Dialysis and Transplant Association Registry (2011). ERA-EDTA Registry Annual Report 2009 ... Acute renal failure occurs in 55-70% of people with STEC-HUS, although up to 70-85% recover renal function. With aggressive ... require dialysis, or have permanent renal damage within the first year after diagnosis despite plasma exchange or plasma ... People with aHUS and ESRD have also had to undergo lifelong dialysis, which has a 5-year survival rate of 34-38%. HUS is one of ...
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In 2007 a renal dialysis unit was built in the grounds. "Hayes Cottage Hospital". Lost Hospital of London. Retrieved 13 April ...
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Usual dose on dialysis days; and ESRD dosing on non-dialysis days. Usual dose on dialysis days; and ESRD dosing on non-dialysis ... Non-dialysis days: 67.5 mg IV Q12H. *Dialysis days: 90 mg IV Q12H (one dose given before dialysis, the other following dialysis ... Continuous Renal Replacement Therapy (CRRT). 3.375 g q6h. 4.5 g q6h. Sustained Low. Efficiency Dialysis (SLED)5. 3.375 g q12-8h ... No dosage adjustment for renal impairment or dialysis. *Note: For ward patients, orders specifying ,1 g per day for indications ...
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  • End-stage renal disease (ESRD) is complete, permanent kidney failure that can be treated only by a kidney transplant or dialysis. (medscape.com)
  • Chest pain in ESRD patients occurs frequently during dialysis. (medscape.com)
  • This condition is uncommon when patients with end-stage renal disease (ESRD) are compliant with treatment and diet, unless an intercurrent illness such as acidosis or sepsis develops. (medscape.com)
  • Serum potassium levels usually should be measured in patients with chronic renal failure or ESRD who present with a systemic illness or major injury. (medscape.com)
  • Some individuals with end-stage renal disease (ESRD) are willing to give up a few months of life rather than live with the logistical difficulties that can be associated with dialysis, according to a survey. (renalandurologynews.com)
  • The investigators concluded that dialysis should not be the presumed treatment for all patients approaching ESRD. (renalandurologynews.com)
  • Patients with end-stage renal disease (ESRD) currently have two treatment options, kidney transplant and dialysis. (pharmaceutical-business-review.com)
  • The limited number of kidney donors worldwide and the various medical complications that arise from dialysis have pushed the medical fraternity to look for suitable alternatives to treat ESRD. (pharmaceutical-business-review.com)
  • While developments in the global healthcare sector continue to focus on innovative products and therapies, dialysis is currently the most administered treatment option for ESRD. (pharmaceutical-business-review.com)
  • Manufacturers of dialysis equipment are developing fully automatic, portable, and advanced dialysis equipment to treat patients of all ages suffering from ESRD. (pharmaceutical-business-review.com)
  • On October 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to update payment policies and rates under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished after January 1, 2016. (dialysispatients.org)
  • The PY 2017 ESRD QIP measure set contains measures encompassing anemia management, dialysis adequacy, vascular access type, patient experience of care, infections, hospital readmissions, and mineral metabolism. (dialysispatients.org)
  • Peritoneal dialysis (PD) as a mode of renal replacement therapy (RRT) is gradually increasing in chronic kidney disease (CKD) patients with end stage renal disease (ESRD). (hilarispublisher.com)
  • All the patients who were known cases of ESRD and were on peritoneal dialysis were enrolled in the study with effect from November 2012 to October 2013. (hilarispublisher.com)
  • People who are in kidney failure, also called end-stage renal disease (ESRD), need dialysis. (renalclinicofhouston.com)
  • The Centers for Medicare & Medicaid Services (CMS) today proposed a new prospective payment system (PPS) for facilities that provide dialysis services to Medicare beneficiaries who have end-stage renal disease (ESRD). (cms.gov)
  • Electrolyte abnormalities may result from renal disease itself or as an iatrogenic complication. (medscape.com)
  • These changes can lead to severe bone disease in persons suffering from renal failure, because bone calcium is depleted and the calcium stores are not adequately replenished. (britannica.com)
  • Hemodialysis - the filtering of a person's blood to replace the functions of a kidney - is a therapy that most patients with end-stage renal disease need to stay alive. (ftc.gov)
  • Plasma cholesterol metabolism in end-stage renal disease. (jci.org)
  • Plasma cholesterol metabolism was investigated in normotriglyceridemic patients with end-stage renal disease treated by hemo- or continuous ambulatory peritoneal dialysis (CAPD), and compared with that in a control group with normal renal function. (jci.org)
  • Dedicated professional with an emphasis on improving the care of individuals with chronic illnesses including renal disease, diabetes, and heart disease. (freereferral.com)
  • Home dialysis has remained a preferred option for patients with renal disease as it is more convenient and less expensive than hospital-based dialysis. (pharmaceutical-business-review.com)
  • Unlike traditional renal replacement machines, automated dialysis equipment facilitates the management of disease parameters digitally, thereby ensuring more accuracy and reducing costs of labour. (pharmaceutical-business-review.com)
  • Kidney disease requiring renal dialysis? (cdc.gov)
  • The cornerstones of renal cortical necrosis therapy are to restore hemodynamic stability, institute early dialytic therapy, and treat the underlying cause of the disease. (medscape.com)
  • The goal of all the staff is to improve the health of those with end-stage renal disease. (definitivehc.com)
  • This advertorial is sponsored by Alio Medical Owing to the various risk factors and potential complications faced by kidney disease patients undergoing dialysis treatment, new. (renalinterventions.net)
  • Steve White is an author and dialysis patient at Pure Life Renal of Perimeter in Atlanta, Ga. His most recent book "When Kidneys Fail" provides an indepth overview of his journey with kidney disease. (plrenal.com)
  • Living with kidney failure presents many challenges, but having access to quality medical care and following proper dietary recommendations can help make living with renal disease much more manageable. (renaldiethq.com)
  • A renal dialysis technician, also called a nephrology technician, works with patients requiring dialysis due to damaged kidneys or kidney disease. (wisegeek.net)
  • Medical nutrition therapy (MNT [Table 1] ) plays an integral role in the health of patients with chronic kidney disease (CKD) stage 5 (D) Dialysis. (jrnm.in)
  • U.S. Renal Care clinics provide in-center and at-home hemodialysis and peritoneal dialysis services for end stage renal disease. (sanantoniodoctors.com)
  • Left ventricular dysfunction increases cardiovascular mortality and morbidity in end stage renal disease patients on hemodialysis. (hilarispublisher.com)
  • Peritoneal dialysis has emerged as an alternative mode of renal replacement therapy for end stage renal disease patients. (hilarispublisher.com)
  • However the prevalence of left ventricular dysfunction in end stage renal disease patients is scarcely known. (hilarispublisher.com)
  • The highly skilled physicians at Renal Clinic of Houston, with offices in Katy, Cypress, Sealy, and Houston, Texas, provide expert care for all stages of kidney disease and help their patients get dialysis treatments when they're in kidney failure. (renalclinicofhouston.com)
  • For their patients with chronic kidney disease, the Renal Clinic of Houston experts monitor kidney function to determine when it's time to consider dialysis. (renalclinicofhouston.com)
  • Untreated CKD can result in end-stage renal disease and necessitate dialysis or kidney transplantation. (cdc.gov)
  • There are two types of technicians in your dialysis clinic: the Biomedical Nephrology Technologist (BNT) is the individual responsible for maintaining the equipment used during your dialysis treatment. (rsnhope.org)
  • 'Skill Enhancement Training for Dialysis Technologist' organized by the Renal Replacement Therapy and Dialysis Technology Program, MCHP and Department of Nephrology, KMC on 4th April 2023, 10:00 AM at Sharada Hall. (manipal.edu)
  • Committed Nephrology leader with expertise in regulatory compliance, quality improvement, clinical management in all modalities of dialysis (hemodialysis, peritoneal dialysis, home hemodialysis, pediatric dialysis), educational and quality program development with emphasis on patient safety and clinical outcomes, dialysis clinic management, mentoring and team building. (freereferral.com)
  • Three Online CE programs are currently available: Dialysis and Nephrology CE, Nursing CE and Radiologic Technology CE. (renaltravelnurse.com)
  • December 1, 2008) - New York, NY--Magnifying glasses may soon join the dialysis machine as essential equipment in dialysis centers around the country. (medscape.com)
  • Why are dialysis centers important? (definitivehc.com)
  • Dialysis centers offer a place for patients to receive this life-saving treatment. (definitivehc.com)
  • Orleans Community Health is comprised of Medina Memorial Hospital, (a designated Critical Access Hospital), Renal Dialysis Centers located in Medina and Batavia, NY, Primary and Walk-In Clinic in Albion, NY, a 30 bed Skilled Nursing Home, Outpatient and Ambulatory Services, and Community Partners Wellness Center. (orleanscommunityhealth.org)
  • Total Renal Care Inc was recognized and certified in Dec 29th, 2015 by Centers for Medicare & Medicaid Services (CMS) as one of the modern dialysis facilities which are scientifically measured and assessed to have high-quality dialysis services for promoting health and improving the quality of life. (healthcare4ppl.com)
  • This dialysis data was updated by using the dataset publicized on Jul 19th, 2023 by the Centers for Medicare and Medicaid Services (CMS). (healthcare4ppl.com)
  • The Federal Trade Commission will require the national kidney-dialysis chain U.S. Renal Care, Inc., for which Rangers Renal Holdings LP is the parent company, to divest its ownership interest in three outpatient dialysis clinics in Laredo, Texas, as part of a settlement resolving charges that its $640 million acquisition of competitor DSI Renal , from DSI Renal's ultimate parent company, Dialysis Parent, LLC, would be anticompetitive. (ftc.gov)
  • Serves as a change agent in projects requiring quality improvement and regulatory compliance in distressed dialysis clinics and hospitals (including hemodialysis and home therapies). (freereferral.com)
  • Dialysis equipment is in great demand in hospitals, clinics, and dialysis centres across the world, boosting demand in the global market. (pharmaceutical-business-review.com)
  • Orleans Community Health is seeking a Full Time RN to join our nursing team at either our Medina or Batavia Dialysis Clinics. (orleanscommunityhealth.org)
  • At DaVita UK, we provide dialysis care for over 2,000 patients across 26 clinics in the UK. (renalservices.com)
  • The programs typically are found at community colleges, technical colleges, and through dialysis clinics and take about a year to complete. (wisegeek.net)
  • U.S. Renal Care serves 6,200 patients and operates 125 clinics and outpatient facilities in 11 states. (usrenalcare.com)
  • Dialysis technology graduates get great career opportunities, the aspirants can apply for jobs in hospitals (Government or private), clinics, or healthcare setups offering dialysis treatment. (dolphinlifesciences.com)
  • It is a newly renovated facility consisting of a 24-hour state-of-the-art emergency department with a psychiatric unit and observation beds, imaging including a new CT scanner and 3D mammography, expanded renal dialysis, outpatient behavioral health and primary and specialty care clinics. (lifebridgehealth.org)
  • Let's learn more about the types of dialysis technicians, how they are educated to help you and how you can celebrate this week with YOUR dialysis technician. (rsnhope.org)
  • To learn more about kidney failure and treatment options, including various types of dialysis, contact the National Kidney Foundation at www.kidney.org or (800)622-9010. (medscape.com)
  • The two types of dialysis include hemodialysis and continuous ambulatory peritoneal dialysis. (definitivehc.com)
  • What are the types of dialysis? (renalclinicofhouston.com)
  • There are two types of dialysis: hemodialysis and peritoneal dialysis. (renalclinicofhouston.com)
  • With his background in aerospace and previous education from Red River College's Electronic Engineering Technology program, Garcia became a dialysis technologist with the renal program at Health Sciences Centre (HSC). (kidneyhealth.ca)
  • Uremia ought to represent a purely chemical statement, but it is sometimes used to denote a clinical picture, that of severe renal insufficiency. (britannica.com)
  • This descriptive study analyzes the quality of life of patients with renal insufficiency under renal dialysis treatment. (bvsalud.org)
  • Decreasing incidence of renal cortical necrosis in patients with acute renal failure in developing countries: a single-centre experience of 22 years from Eastern India. (medscape.com)
  • Renal Dialysis Center (RDC), Nigeria's leading dialysis network with a strong commitment to quality care was founded on October 1st 2012 as a standalone outpatient heamodialysis centre in Ikeja, Lagos, Nigeria. (renaldialysis-ng.com)
  • A nationwide survey distributed among 150 randomly selected dialysis facilities in the USA has found that a "substantial proportion" of patients receiving in-centre haemodialysis. (renalinterventions.net)
  • Our team is the leading dialysis and renal transplant service centre for children. (pediatricnephrologyindia.com)
  • For their hemodialysis patients, the nephrologists at Renal Clinic of Houston provide vascular access work, monitoring health and function. (renalclinicofhouston.com)
  • J Renal Nutr Metab [serial online] 2018 [cited 2023 Oct 4];4:48-9. (jrnm.in)
  • The native peripheral vascular system is also affected with higher rates of amputation and revascularization procedures, and a peritoneal dialysis catheter exposes patients to the risks of peritonitis and local infection, because the catheter acts as a foreign body and provides a portal of entry for pathogens from the external environment. (medscape.com)
  • Most patients require an access (eg, hemocatheter, peritoneal dialysis catheter) to institute dialysis. (medscape.com)
  • Served on the hospital committee for improving out-patient dialysis outcomes and improving compliance with regulatory deficiencies. (freereferral.com)
  • This dialysis equipment also incorporates advanced technology such as high-res screens with touchscreen functionalities and helps enhance patient outcomes. (pharmaceutical-business-review.com)
  • Secondary outcomes included mortality at one year, and dialysis dependence at 90 days and one year. (ices.on.ca)
  • Ali A, Ali MA, Ali MU, Mohammad S. Hospital outcomes of obstetrical-related acute renal failure in a tertiary care teaching hospital. (medscape.com)
  • This lecture is aimed at focusing on individualizing the nutrition therapy to achieve better outcomes in dialysis patients. (jrnm.in)
  • U.S. Renal Care is the third-largest provider of outpatient dialysis services in the United States and DSI Renal is the sixth-largest. (ftc.gov)
  • A renal dialysis center, sometimes referred to as a dialysis center, is a hospital-based or independent unit approved and licensed to provide outpatient dialysis services. (definitivehc.com)
  • the parathyroids are overactive in renal failure, and vitamin D is less than normally effective because the kidneys manufacture less of its active form (1,25-dihydroxycholecalciferol). (britannica.com)
  • Will Implantable Bioartificial Kidneys Replace Dialysis in Patients with Renal Failure? (pharmaceutical-business-review.com)
  • Implantable bioartificial kidneys are the latest innovation in healthcare science that provides the health benefits of kidney transplantation and potentially wipe out the need for dialysis. (pharmaceutical-business-review.com)
  • Powered by silicon nanotechnology, artificial kidneys seek to eliminate the torture faced by dialysis patients and may prove to be a boon to patients with acute renal failure. (pharmaceutical-business-review.com)
  • Miniature artificial kidneys could redefine the entire ecosystem of dialysis treatment. (pharmaceutical-business-review.com)
  • The integration of portable home haemodialysis equipment facilitating elongated use in homes and offices with wearable artificial kidneys for peritoneal dialysis allowing uninterrupted blood cleansing throughout the day will ensure more patient comfort and guarantee better and enhanced performance of the dialysis equipment. (pharmaceutical-business-review.com)
  • Dialysis is a lifesaving treatment for those with chronic kidney failure and takes over for the kidneys as it cleanses the blood. (definitivehc.com)
  • Choosing a diet for dialysis is a very important part of the overall medical treatment to help your overworked, or failing kidneys. (renaldiethq.com)
  • Dialysis machines do the function of failing kidneys, by removing waste from the blood. (renaldiethq.com)
  • Dialysis takes over the function of the kidneys when you're in kidney failure. (renalclinicofhouston.com)
  • Dialysis takes over the function of your kidneys, removing waste, fluid, and toxins from your blood, preventing critical complications. (renalclinicofhouston.com)
  • You need dialysis when your kidneys can only perform 10 to 15% of their normal function. (renalclinicofhouston.com)
  • I was a traveling dialysis nurse for 4 years, mainly in hospitals, it was mostly good, although I had a few VERY rough assignments. (allnurses.com)
  • Life on dialysis means you must be diligent when reviewing the menu - on the go and at home. (dsi-corp.com)
  • The key to a better quality of life on dialysis is regular dialysis therapy and good nutrition regime. (jrnm.in)
  • Specializes in Dialysis. (allnurses.com)
  • Meet with a registered dietitian nutritionist that specializes in dialysis nutrition. (dsi-corp.com)
  • The third week of October each year is National Dialysis Technician Recognition Week . (rsnhope.org)
  • Due in no small part to the care they got from their dialysis technicians, they chose to undertake the training to become a technician - and other have gone for more education to become a dialysis nurse. (rsnhope.org)
  • Since 2012, CNTs are federally mandated to earn a nationally recognized dialysis technician certification. (rsnhope.org)
  • NANT sponsors the National Dialysis Technician Recognition Week. (rsnhope.org)
  • What is a Renal Dialysis Technician? (wisegeek.net)
  • During the set up stage of dialysis, a renal dialysis technician will select supplies per her patient's needs. (wisegeek.net)
  • Once the patient arrives for dialysis, the renal dialysis technician may take the individual's medical vital signs, such as heart rate and blood pressure . (wisegeek.net)
  • As the dialysis equipment is running, the renal dialysis technician will document the person's progress. (wisegeek.net)
  • A renal dialysis technician is responsible for setting up and running the equipment for patients while they undergo dialysis treatment. (wisegeek.net)
  • After the procedure is complete, the renal dialysis technician will take the individual's vital signs again. (wisegeek.net)
  • To become a renal dialysis technician, a student first will need to graduate from an accredited program. (wisegeek.net)
  • After the program, many areas require that the renal dialysis technician complete a certification process that may include a test and require several years of supervised experience. (wisegeek.net)
  • A renal dialysis technician will check a patient's vital signs and document their progress. (wisegeek.net)
  • Various complications are associated with vascular access in patients who are on hemodialysis and are associated with abdominal catheters in patients using continuous ambulatory peritoneal dialysis (CAPD). (medscape.com)
  • Neurologic complications include headache, dialysis dementia, dialysis disequilibrium syndrome, Wernicke's encephalopathy, and stroke, which can occur either directly or indirectly in relation to hemodialysis. (medscape.com)
  • Diaverum, a global renal care service provider, has launched its first ever holiday dialysis travel guide in an effort to "empower renal patients worldwide. (renalinterventions.net)
  • Most dialysis patients receive treatments at least three times a week for at least four hours a day. (rsnhope.org)
  • Mock surveyor for dialysis facilities: in-center hemodialysis, home hemodialysis, peritoneal dialysis, nocturnal hemodialysis, dialysis treatments inside Long-Term Care facilities. (freereferral.com)
  • The 13-station facility, to be located at 396 Remington Rd., will provide much-needed access for those who currently have limited choices and endure long drive times to receive the dialysis treatments they need. (usrenalcare.com)
  • for patients with renal failure, are treated by the renal dialysis specialist that provides administer hemodialysis treatments under the supervision of a nurse or physician. (dolphinlifesciences.com)
  • The dialysis therapist is responsible for providing dialysis treatments for kidney failure patients. (galaxyeduworld.com)
  • Hypotension in dialysis patients may be due to any of the causes encountered in any other patient. (medscape.com)
  • Some dialysis technicians and technologists know first hand what you, the dialysis patient, is going through - because they were on dialysis themselves. (rsnhope.org)
  • It is a great time for you, the dialysis patient, to say "Thank you" to the technicians in your dialysis unit. (rsnhope.org)
  • Creates and executes presentations on renal topics, patient safety, and quality improvement. (freereferral.com)
  • and Pediatric Peritoneal Dialysis Adequacy) with "a single, comprehensive clinical measure (the Dialysis Adequacy clinical measure) covering the patient populations previously captured by these four individual measures. (dialysispatients.org)
  • Improved lighting in dialysis units, large magnifiers, and modified educational materials with large type and high contrasts can be inexpensive and effective ways to improve patient functioning. (medscape.com)
  • After treatment, a dialysis patient can usually return to work, travel, or live normally. (definitivehc.com)
  • The Alio SmartPatch™: Optimising dialysis patient monitoring with a wearable, non-invasive. (renalinterventions.net)
  • Nationwide survey indicates hesitancy among US dialysis patient groups over COVID-19. (renalinterventions.net)
  • Check out this video I found of the alleged first-ever home dialysis patient in England. (renalfellow.org)
  • Very civilized, except for the fact that it looks like the patient is using a permanent femoral dialysis catheter-something which would be used only rarely in today's times due to what we know about the dramatically increased risk of infection. (renalfellow.org)
  • Prepare the patient for dialysis treatment. (renalservices.com)
  • Connect the patient to the dialysis machine and commence treatment as prescribed. (renalservices.com)
  • People don't choose to have dialysis, but they should be able to choose where they receive their treatment," said Cartrell Collins, a patient cared for by Dr. Ahmed and Dr. Rauf. (usrenalcare.com)
  • Developed a de novo dialysis clinic for a hospital system with successful CMS approval in Dec. 2019. (freereferral.com)
  • A well-functioning dialysis machine is a key component of a successful dialysis treatment. (rsnhope.org)
  • Difference between treatment by hemodialysis or peritoneal dialysis. (jci.org)
  • The participants were presented with 12 choice sets (scenarios) involving trade-offs between life expectancy, number of visits to hospital per week for dialysis, travel restrictions, number of hours on treatment and whether subsidized transportation was available for hospital visits. (renalandurologynews.com)
  • This is an extremely flexible dialysis treatment that patients can take in the comfort of their homes. (pharmaceutical-business-review.com)
  • Background - Sustained low efficiency dialysis (SLED) has emerged as an alternative to continuous renal replacement therapy (CRRT) for the treatment of acute kidney injury (AKI) in critically ill patients. (ices.on.ca)
  • The John Flynn Renal Dialysis Unit is a 15 chair Unit, providing comprehensive haemodialysis treatment for private, DVA, and uninsured clients from all over Australia and overseas. (johnflynnprivate.com.au)
  • Early institution of dialysis treatment for renal failure is crucial for patients who are oliguric. (medscape.com)
  • We distributed dialysis treatment prevalence by age ( 6 ) and autoimmune diseases by rheumatoid arthritis age-specific incidence. (cdc.gov)
  • Dialysis Treatment Clears the Blood, But Does it Cloud the Vision? (medscape.com)
  • Because of this, dialysis is a necessary treatment to filter out these unwanted substances and maintain a good balance in the blood. (definitivehc.com)
  • Dialysis is a life-saving treatment for those with kidney failure. (renaldiethq.com)
  • Garcia and nine additional technologists service five different models of dialysis machines and eight different water treatment systems, as well as multiple models of a variety of other support equipment. (kidneyhealth.ca)
  • We're part of DaVita International who are focused on transforming care and improve quality of life for people receiving dialysis treatment globally. (renalservices.com)
  • These machines help people who need hemodialysis , peritoneal dialysis , treatment from drug abuse, or plasmapheresis. (wisegeek.net)
  • Dialysis is a medical treatment for kidney failure. (renalclinicofhouston.com)
  • I was paid a lot more doing acute dialysis than chronic, but at my age, money ain't everything! (allnurses.com)
  • In chronic renal failure, excessive production of renin by the kidney can lead to severe high blood pressure ( hypertension ), and the effects of this may even dominate the clinical picture. (britannica.com)
  • However, further support is available for nephrologists through the 'shared decision making' clinical practice guideline (2010) issued by the Renal Physicians Association," said Dr. Morton, referring to the Rockville, Md.-based organization. (renalandurologynews.com)
  • Healthcare professionals who may work at a dialysis center include nephrologists , certified hemodialysis technicians, registered nurses , clinical social workers, and registered dietitians. (definitivehc.com)
  • DaVita Clinical Research study indicates mRNA COVID-19 vaccines effective in dialysis. (renalinterventions.net)
  • During the due diligence phase of a dialysis clinic acquisition, the buyer will perform a detailed review in the following areas: financial, clinical, operational, corporate structure, litigation and human resources. (plrenal.com)
  • Offering a composite solution to bedhead services provision in Dialysis or Renal Dialysis areas where both the clinical efficiency of the environment and its aesthetics are important to users and patients alike, RO-V has evolved through ongoing dialogue with RO water system providers, users and specifiers. (cableflow.com)
  • Hello- I knew an experienced dialysis nurse who did dialysis-travel assignments all over the country, she even went on a cruise ship doing dialysis. (allnurses.com)
  • If you are an experienced, compassionate and dependable dialysis nurse who loves to work in a clinic setting, then we'd love to talk with you! (orleanscommunityhealth.org)
  • The Staff Nurse is a Registered Professional Nurse responsible for the direct and indirect nursing care administered to the patients of the Renal Center. (orleanscommunityhealth.org)
  • The role of the Associate Practitioner is to assist and support the registered dialysis nurse practitioner in ensuring optimal care for patients on dialysis and to provide care within agreed competencies under the supervision of the registered nurse. (renalservices.com)
  • Usually, she will report the results of the dialysis to a nurse or medical doctor. (wisegeek.net)
  • I've never done traveling, but I do in-hospital dialysis, and I can tell you it is a very good skill to have. (allnurses.com)
  • Be aware that in-hospital dialysis is very different than the chronic setting. (allnurses.com)
  • I did 12 years of hospital nursing before starting in dialysis. (allnurses.com)
  • The survey findings, which were published online in the Canadian Medical Association Journal , showed that patients would be willing to forgo seven months of life expectancy in exchange for having fewer hospital visits for dialysis and forgo 15 months of life expectancy so they could travel more. (renalandurologynews.com)
  • They found patients were willing to forgo seven months of life expectancy in exchange for reducing the number of hospital visits for dialysis from four to three. (renalandurologynews.com)
  • Although she can work in a hospital or clinic, she may also travel to a patient's home to help with an in-home dialysis procedure. (wisegeek.net)
  • Consult a nephrologist to manage acute renal failure and for ongoing chronic renal replacement therapy. (medscape.com)
  • They are trained to give dialysis therapy to the patients. (galaxyeduworld.com)
  • Has anyone tried he health care, dialysis, travel nursing (i know this option will still be in hospitals, but at least i would be able to change scenery), etc? (allnurses.com)
  • In addition, patients have the right to know that a pathway of care is available should they choose not to initiate dialysis. (renalandurologynews.com)
  • Most cases of renal cortical necrosis initially require intensive care. (medscape.com)
  • The U.S. Renal Care logo is a trademark of U.S. Renal Care, Inc. (dsi-corp.com)
  • The CABLEFLOW RO-V range has been developed specifically for renal dialysis station locations in healthcare environments where the safe and reliable provision of purified water systems is essential to the provision of haematology care. (cableflow.com)
  • We applaud Mayor Roger Claar and Trustee Ricardo Morales and the entire village board for their leadership in ensuring Bolingbrook residents have greater access to quality dialysis services now and in the future," said U.S. Renal Care President and Chief Operating Officer Stephen Pirri. (usrenalcare.com)
  • We commend the state board for putting patients' needs first and providing better access to health care for area residents," said U.S. Renal Care Chief Medical Officer Stan Lindenfeld. (usrenalcare.com)
  • Both have been serving dialysis patients in the area for many years and are known for the quality of care they provide and the strong loyalty of their patients. (usrenalcare.com)
  • Total Renal Care Inc is located at 1566 Shortcut Hwy, Slidell, LA 70458 and can be contacted via phone number (985) 643-9237 . (healthcare4ppl.com)
  • This quality measures report is provided in order to help patients understand the dialysis services being offerred by Total Renal Care Inc and to help the facilities improve their service quality for promoting health. (healthcare4ppl.com)
  • U.S. Renal Care runs its local facilities through partnerships with physicians who serve as Medical Directors. (sanantoniodoctors.com)
  • Let U.S. Renal Care - Downtown SA Dialysis know you found them on San Antonio Doctors online directory! (sanantoniodoctors.com)
  • We have the newest dialysis technology inpatient and outpatient, and provides comprehensive kidney transplant care to children of all ages. (pediatricnephrologyindia.com)
  • Renal & Urology News publishes timely news coverage of scientific developments of interest to nephrologists and urologists, including in-depth coverage of all relevant medical conferences. (renalandurologynews.com)
  • Supporting the nephrologists is a team of highly specialised renal nurses who provide safe and comfortable dialysis in a relaxed and friendly environment. (johnflynnprivate.com.au)
  • I started dialysis in an outpatient unit, and work in a small clinic at present. (allnurses.com)
  • Renal Clinic of Houston doesn't offer dialysis at their offices but makes referrals. (renalclinicofhouston.com)
  • To find out more about dialysis, call Renal Clinic of Houston or schedule an appointment online today. (renalclinicofhouston.com)
  • Patients may present after dialysis or minor trauma with bleeding from their vascular access site. (medscape.com)
  • Jassal does not believe that dialysis itself causes retinal damage but says the study's findings underscore the high burden of vascular and other diseases born by dialysis patients. (medscape.com)
  • Discontinue dialysis including wash back and removal of needles as per vascular access competency assessment pack. (renalservices.com)
  • The comorbid conditions like Diabetes Mellitus, hypertension, dyslipidemia and vascular calcification are responsible for progression of cardiac dysfunction in patients on peritoneal dialysis [ 4 ]. (hilarispublisher.com)
  • Then, they refer you to a dialysis center and may have you meet with a vascular surgeon to discuss vascular access (a port that helps with the blood-cleaning process). (renalclinicofhouston.com)
  • Given the continuous advancements taking place in medical device technology, wearable dialysis equipment may soon emerge in a more compact and small form factor to provide increased convenience and usability to patients. (pharmaceutical-business-review.com)
  • For more information, see Chronic Renal Failure . (medscape.com)
  • Hyperkalemia is the most common clinically significant electrolyte abnormality in chronic renal failure. (medscape.com)
  • The term uremia , though it is sometimes used as if it were interchangeable with chronic renal failure , really means an increase in the concentration of urea in the blood. (britannica.com)
  • As with acute renal failure, there are many conditions that can lead to chronic renal failure. (britannica.com)
  • There are many other causes of chronic renal failure aside from the four common ones. (britannica.com)
  • Designed to suit a custom application from a core product range, RO-V is manufactured to an uncompromising standard catering for the individual needs of dialysis positions in every type of healthcare environment. (cableflow.com)
  • The diploma is renal dialysis students can find ample job opportunities in the healthcare sector. (galaxyeduworld.com)
  • Reducing the pill burden for dialysis patients has the opportunity to improve a patient's quality of life. (plrenal.com)
  • Persons living with autoimmune diseases and dialysis were estimated to be 7.37% ( 11 ) and 0.14% ( 12 ), respectively. (cdc.gov)
  • A new study, published in the December issue of American Journal of Kidney Diseases , the official journal of the National Kidney Foundation, suggests that elderly dialysis patients suffer high rates of visual impairment. (medscape.com)
  • Chronic renal diseases. (bvsalud.org)
  • Co-investigator Vanita Jassal, MD, expected that dialysis patients would have a high rate of visual impairment due to the large percentage of this population that suffers from diabetes and hypertension, two conditions that are strongly associated with visual loss. (medscape.com)
  • The John Flynn Renal Unit operates Monday to Saturday and is supported by 24 hour emergency services. (johnflynnprivate.com.au)
  • BOLINGBROOK, IL) - In a big win for area dialysis patients, the Illinois Health Facilities Services and Review Board approved U.S. Renal Care's plans to bring a new dialysis center to the Village of Bolingbrook. (usrenalcare.com)
  • The growth in age of the area population has also contributed to an accelerated demand for dialysis services in the village. (usrenalcare.com)
  • Center for Medicare & Medicaid Services (CMS) regularly surveys the quality of dialysis services basing on different metrics which more or less reflects the overall conditions of patients after receving the services. (healthcare4ppl.com)
  • Medical devices manufacturer Quanta has recently launched advanced haemodialysis equipment with an objective to improve the lives of patients requiring dialysis on a regular basis. (pharmaceutical-business-review.com)
  • Prepare and programme the dialysis machine as per the dialysis prescription for haemodialysis (HD) or haemodiafiltration (HDF). (renalservices.com)
  • Experience working in a haemodialysis unit, with knowledge and experience of caring for renal/dialysis patients (desired, not essential). (renalservices.com)
  • During the course of the day, the students toured the operating rooms and pediatric dialysis center, viewed a surgery, and heard from dialysis patients and kidney transplant recipients. (rsnhope.org)
  • I never knew there were traveling dialysis nurses! (allnurses.com)
  • As a dialysis therapist one is responsible to attach the dialysis equipment to the patients and constantly monitor the readings and react quickly in case of any emergency during the process. (galaxyeduworld.com)
  • Bilateral acute renal cortical necrosis in SLE-associated antiphospholipid syndrome. (medscape.com)
  • Consultation with other specialties may be needed, depending on the etiology of the renal cortical necrosis. (medscape.com)
  • No dose on non-dialysis days. (sunnybrook.ca)
  • For patients on renal dialysis, an additional dose of [HA570 trade name] is recommended after each dialysis. (who.int)
  • Our research has shown that patients are particularly interested in knowing their expected survival, the number of visits to a dialysis facility that they would have to make, the resultant restrictions on their ability to travel for work or vacation, and the time of day dialysis can be performed," noted lead investigator Rachael Morton, PhD, of the Sydney School of Public Health at the University of Sydney in Australia. (renalandurologynews.com)
  • Knowing dialysis diet restrictions is vital to making this a successful diet. (renaldiethq.com)