Related Experiment Video
Updated: Mar 10, 2026
06:27
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
3.3K
The Evolution of Home HD - Meeting Modern Patient Needs
Contributions to Nephrology
|December 13, 2016
Summary
Intensive home hemodialysis offers better outcomes for end-stage renal disease patients than conventional therapy. Global trends show evolving practices but persistent logistical barriers, prompting the creation of a user-centric manual.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Public Health
Background:
- Conventional renal replacement therapy is associated with high morbidity and mortality in end-stage renal disease (ESRD) patients globally.
- Intensive home hemodialysis presents a promising alternative with superior clinical outcomes.
- Understanding global trends and practices is crucial for optimizing this therapy.
Purpose of the Study:
- To describe international trends and practices in intensive home hemodialysis.
- To identify common logistical barriers encountered worldwide.
- To inform the development of resources for facilitating home hemodialysis delivery.
Main Methods:
- A cross-sectional survey was conducted.
- Data were collected from 25 centers reporting on global trends and practices of intensive home hemodialysis.
Main Results:
- Intensive home hemodialysis practices are evolving internationally.
- Similar logistical barriers to implementing home hemodialysis were identified across different regions.
- The Global Forum for Home Hemodialysis was established to address these challenges.
Conclusions:
- Home hemodialysis is an important and evolving mode of renal replacement therapy.
- Addressing logistical barriers is key to expanding its global adoption.
- A user-centric manual aims to facilitate the delivery of intensive home hemodialysis.
Related Concept Videos
01:25Hemodialysis I: Introduction
2.6K
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...
2.6K
01:24Hemodialysis II: Procedure and Complications
1.4K
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,...
1.4K
01:25Hemodialysis III: Nursing Management
1.3K
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...
1.3K
01:27Dialysis
1.7K
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...
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...
1.7K
01:15Dialysis
2.0K
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...
2.0K
01:30Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
737
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
737