RATE-RELATED RECIRCULATION - THE EFFECT OF ALTERING BLOOD-FLOW ON DIALYZER RECIRCULATION

被引:39
作者
SHERMAN, RA [1 ]
LEVY, SS [1 ]
机构
[1] UNIV MED & DENT NEW JERSEY,ROBERT WOOD JOHNSON MED SCH,DEPT MED,DIV NEPHROL,NEW BRUNSWICK,NJ 08903
关键词
HEMODIALYSIS; RECIRCULATION; VASCULAR ACCESS; ARTERIOVENOUS FISTULAS; DIALYSIS PRESCRIPTION; DIALYZER BLOOD FLOW; ADEQUACY OF DIALYSIS;
D O I
10.1016/S0272-6386(12)81124-3
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Increasing dialyzer blood flow to enhance the efficiency of dialysis has become commonplace. While it is recognized that this procedure may increase recirculation, the resulting extent of recirculation has not previously been examined. We studied 16 patients with various levels of recirculation and found it to average 8.5% at a blood flow of 50 mL/min, 14.9% at 200 mL/min, and 22.5% at 316 mL/min. This rate-related recirculation has a significant impact on dialyzer urea clearance and should be taken into account in the dialysis prescription. © 1991, National Kidney Foundation, Inc.. All rights reserved.
引用
收藏
页码:170 / 173
页数:4
相关论文
共 17 条
[1]  
COLLINS A, 1988, KIDNEY INT, V33, P219
[2]   RAPID HIGH-EFFICIENCY HEMODIALYSIS [J].
COLLINS, A ;
ILSTRUP, K ;
HANSON, G ;
BERKSETH, R ;
KESHAVIAH, P .
ARTIFICIAL ORGANS, 1986, 10 (03) :185-188
[3]  
DANIEL WW, 1983, BIOSTATISTICS F ANAL, P416
[4]  
FLANIGAN M, 1990, KIDNEY INT, V37, P295
[5]  
GALEN M, 1989, T AM SOC ART INT ORG, V35, P255
[6]   A MECHANISTIC ANALYSIS OF THE NATIONAL COOPERATIVE DIALYSIS STUDY (NCDS) [J].
GOTCH, FA ;
SARGENT, JA .
KIDNEY INTERNATIONAL, 1985, 28 (03) :526-534
[7]  
GOTCH FA, 1984, 1 INT S SINGL NEEDL, P47
[8]   ASSESSING THE ADEQUACY OF DIALYSIS [J].
HAKIM, RM ;
HARRINGTON, JT ;
LEVEY, AS ;
KASSIRER, JP ;
MADIAS, NE ;
BERNARD, DB ;
PERRONE, RD ;
MEYER, K ;
CARLSON, J ;
MADAIO, MP .
KIDNEY INTERNATIONAL, 1990, 37 (02) :822-832
[9]   TECHNICAL REQUIREMENTS FOR RAPID HIGH-EFFICIENCY THERAPIES [J].
KESHAVIAH, P ;
LUEHMANN, D ;
ILSTRUP, K ;
COLLINS, A .
ARTIFICIAL ORGANS, 1986, 10 (03) :189-194
[10]  
KESHAVIAH P, 1986, T AM SOC ART INT ORG, V32, P17