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[Biofiltration without buffering substances in the dialysate].

F Quarello1, R Boero, G Martina

  • 1Università di Torino, Istituto di Nefro-Urologia.

Minerva Urologica E Nefrologica = the Italian Journal of Urology and Nephrology
|January 1, 1990
PubMed
Summary
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Acetate-free biofiltration (AFB) effectively corrects uremic acidosis and offers good hemodynamic tolerance in patients with chronic kidney disease. This safe and feasible hemodiafiltration technique is a competitive alternative to existing treatments.

Area of Science:

  • Nephrology
  • Biomedical Engineering

Context:

  • Chronic uremia treatment often involves managing metabolic acidosis and hemodynamic instability.
  • Existing hemodiafiltration techniques may have limitations in acid-base balance control.

Purpose:

  • To evaluate the efficacy and safety of acetate-free biofiltration (AFB) in treating chronic uremia.
  • To assess the acid-base balance and hemodynamic tolerance of AFB.

Summary:

  • Acetate-free biofiltration (AFB) utilizes a buffer-free dialysate with post-dilution sodium bicarbonate infusion.
  • Acute studies show stable pCO2, with significant inverse correlation between bicarbonate changes and basal levels, correcting uremic acidosis without alkalosis.
  • Long-term follow-up in 6 patients over 31 months demonstrates AFB's feasibility, safety, and good hemodynamic tolerance.

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Impact:

  • AFB provides effective correction of uremic acidosis and excellent hemodynamic stability.
  • It presents a competitive alternative to bicarbonate hemodialysis, hemodiafiltration, and standard biofiltration.
  • This technique offers a promising option for improving the quality of life for patients with chronic kidney disease.