Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Dialysis01:27

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).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

Dialysis

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...
Hemodialysis I: Introduction01:25

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...
Hemodialysis III: Nursing Management01:25

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...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Phormia regina Fly as Vector for Ignatzschineria spp. Bacteremia in Persons Experiencing Homelessness, Canada, 2025.

Emerging infectious diseases·2026
Same author

Development and results of a customised theoretical framework-based survey on barriers and enablers to hearing aid uptake and use in older adults.

International journal of audiology·2026
Same author

Development and validation of a deep learning model for liver shear stiffness regression using abdominal multiparametric MRI across multiple sites and vendors.

European radiology·2026
Same author

Validity and Reliability of the Track-UL Algorithm Compared With Kinovea Software for Measuring Upper-Limb Functional Range of Motion in People After Stroke: Cross-Sectional Observational Study.

JMIR rehabilitation and assistive technologies·2026
Same author

Letter from the Editor-in-Chief.

Medical science educator·2026
Same author

Home-Based Immersive Virtual Reality to Improve Motor Performance in Children and Adolescents With Developmental Coordination Disorder: Crossover Study.

JMIR serious games·2026
Same journal

Intracardiac Vascular Access for Hemodialysis Despite Associated Ascending Aortic Aneurysm.

Seminars in dialysis·2026
Same journal

Measures of Equivalent Hemodialysis Urea Clearance and Their Proposed Utility for Monitoring Adequacy.

Seminars in dialysis·2026
Same journal

Risk of Serious Adverse Events and Death With Low-Dose Methotrexate Versus Hydroxychloroquine in Adults Receiving Dialysis.

Seminars in dialysis·2026
Same journal

Severe Hematoma Following Initial Arteriovenous Fistula Puncture in a Hemodialysis Patient, Emphasizing Thoracic Outlet Syndrome: A Case Report.

Seminars in dialysis·2026
Same journal

Phosphate Kinetic Modeling in Patients Treated With Hemodialysis or Hemodiafiltration: A Prospective, Multicenter, Cross-Sectional Study.

Seminars in dialysis·2026
Same journal

Impact of Expanded Hemodialysis on Inflammation and Iron Metabolism in Chronic Hemodialysis Patients.

Seminars in dialysis·2026
See all related articles

Related Experiment Video

Updated: May 7, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Dialysis initiation: what's the rush?

Steven J Rosansky1, Giovanni Cancarini, William F Clark

  • 1Dorn Research Institute, WJBDVA Hospital, University of SC School of Public Health, Columbia, South Carolina.

Seminars in Dialysis
|September 27, 2013
PubMed
Summary
This summary is machine-generated.

Early dialysis initiation may harm patients by accelerating kidney function loss. Delaying dialysis until symptoms arise or vascular access is ready appears safer, with no proven benefits for early starts.

Related Experiment Videos

Last Updated: May 7, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Area of Science:

  • Nephrology
  • Renal Medicine
  • Dialysis Therapy

Background:

  • The trend towards early dialysis initiation (eGFR >10 ml/min/1.73 m(2)) lacks strong evidence.
  • Observational data suggest worse survival outcomes with early dialysis initiation.
  • Potential harms include accelerated loss of residual renal function (RRF).

Purpose of the Study:

  • To critically evaluate the evidence supporting early dialysis initiation.
  • To examine the impact of timing on residual renal function and patient outcomes.
  • To inform clinical decision-making regarding dialysis initiation.

Main Methods:

  • Review of existing observational studies and the IDEAL randomized controlled trial.
  • Analysis of factors influencing the decision to start dialysis, including RRF trajectory.
  • Consideration of potential harms and benefits of early versus late initiation.

Main Results:

  • No definitive evidence supports early dialysis initiation based on symptoms.
  • Early dialysis may lead to a faster decline in residual renal function.
  • Delayed initiation until vascular access is prepared seems prudent and potentially beneficial.

Conclusions:

  • Current evidence does not support the trend of early dialysis initiation.
  • Preserving residual renal function is crucial; delaying dialysis may be advantageous.
  • Informed patient consent and shared decision-making are essential for timing dialysis initiation.