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Hemodialysis I: Introduction

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...

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Hemodialysis II: Procedure and Complications

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Hemodialysis III: Nursing Management

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...

Dialysis

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
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Dialysis

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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...

Continuous Renal Replacement Therapy

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Related Experiment Video

Updated: Jun 24, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

[Vascular access for haemodialysis].

Pierre Bourquelot¹

¹Clinique Jouvenet, 6, square Jouvenet, 75016 Paris, France. pbourquelot@sfav.org

Nephrologie & Therapeutique

|March 31, 2009

Summary

Creating effective vascular access for haemodialysis is crucial for patients needing regular blood purification. Arteriovenous fistulas are preferred for long-term use, while other methods have significant risks.

Area of Science:

Nephrology
Vascular Surgery
Radiology

Context:

Hemodialysis requires reliable, high-flow blood access for patients with chronic kidney disease and other conditions.
Vascular access is essential for repeated puncturing over extended periods.
Challenges in vascular access are particularly pronounced in pediatric patients.

Purpose:

To review the different types of vascular access for hemodialysis.
To highlight the advantages of arteriovenous fistulas and the drawbacks of other methods.
To emphasize the role of imaging and interventional techniques in vascular access management.

Summary:

Hemodialysis necessitates robust vascular access, typically requiring 350 mL/min blood flow.
Arteriovenous fistulas are the gold standard for long-term access due to their durability.

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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

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Last Updated: Jun 24, 2026

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

A Murine Model of Hemodialysis Access-Related Hand Dysfunction

Published on: May 31, 2022

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique

Published on: April 1, 2022

Arteriovenous bypasses risk stenosis and thrombosis, while central venous catheters carry infection and stenosis risks.

Impact:

Optimizing vascular access improves hemodialysis efficacy and patient outcomes.
Minimizing complications associated with vascular access extends treatment longevity.
Advanced imaging and interventional radiology enhance the creation and maintenance of vascular access.