ANALYSIS OF RECIRCULATION IN SINGLE-NEEDLE HEMODIALYSIS

被引:8
作者
MEIJER, JH
REULEN, JPH
SCHNEIDER, H
OE, PL
KOOLEN, MI
机构
[1] FREE UNIV AMSTERDAM,DEPT MED PHYS,AMSTERDAM,NETHERLANDS
[2] FREE UNIV AMSTERDAM,ACAD HOSP,NEPHROL UNIT,AMSTERDAM,NETHERLANDS
关键词
Double-head pump; Recirculation; Single-head pump; Single-needle haemodialysis;
D O I
10.1007/BF02440902
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
An analysis of recirculation in single-needle dialysis was performed in vitro. The percentage of recirculation was determined both as a function of fistula flow and of pulsatile arterial outflow, using water and blood as test liquids and using a single-head pump as well as a double-head pump. The most important factors responsible for recirculation were found to be (a) poor fistula flow compared with arterial outflow, (b) dead space and mixing in the needle and y-connectors and (c) compliance of the bloodlines in the dialyser circuit. It is concluded that an efficient, short, single-needle dialysis is not possible for patients with poor fistula flow. For other patients, the percentage of recirculation can be minimised by using a double-head pump and a compliant dialyser. © 1979 IFMBE.
引用
收藏
页码:578 / 582
页数:5
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