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Hemodialysis II: Procedure and Complications

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,...

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).
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...

Dialysis

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 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...

Peritoneal Dialysis III: Nursing Management

Peritoneal Dialysis III: Nursing Management

Peritoneal dialysis, or PD, utilizes the peritoneal membrane as a filter to eliminate excess fluid and waste products. Effective nursing management is essential for ensuring patient safety, preventing complications, and promoting optimal function of the peritoneal dialysis process.Assessment and MonitoringNurses must thoroughly assess the patient before, during, and after each dialysis session. Regular monitoring includes vital signs, daily weight, fluid intake and output, and laboratory values...

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...

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Dialysis Facility Safety: Processes and Opportunities.

Renee Garrick¹, Rishikesh Morey¹

¹Division of Nephrology, Department of Medicine, Westchester Medical Center, New York Medical College, Valhalla, New York.

Seminars in Dialysis

|June 16, 2015

Summary

Human errors cause most safety breaches in complex dialysis care. Improving safety requires analyzing error chains and using proactive risk assessment methods.

Area of Science:

Healthcare Safety
Patient Care
Medical Technology

Background:

Dialysis care is a complex, high-risk environment.
Patient physiology and technology create unique safety challenges.
Communication and procedural compliance are key risk areas in dialysis.

Purpose of the Study:

To identify common safety risks in dialysis care.
To explore methods for improving patient safety systems.
To highlight the role of human error in dialysis-related adverse events.

Main Methods:

Review of safety breaches in complex, high-risk environments.
Analysis of communication errors and policy compliance issues.
Application of Failure Mode and Effects Analysis (FMEA) and human factor engineering principles.

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

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Last Updated: Apr 10, 2026

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

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Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

Published on: July 19, 2018

Main Results:

Frequent risks include communication errors, procedural lapses, medication errors, and infections.
Serious but infrequent risks involve air emboli and needle dislodgments.
Sequential errors can align to cause significant patient harm.

Conclusions:

Robust safety systems must evaluate cascading errors.
Sharing root cause analyses and "good catches" improves care.
Proactive risk mitigation using FMEA and human factors enhances dialysis facility safety.