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Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
Published on: October 2, 2020
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Experience With Nocturnal Hemodialysis.
Andreas Pierratos1, Michaelene Ouwendyk1, Robert Franceur1
1The Wellesley Central Hospital, Toronto, Ontario, Canada.
Home Hemodialysis International. International Symposium on Daily Home Hemodialysis
|May 4, 2017
Summary
Nocturnal hemodialysis, a nightly home treatment, offers high efficiency and improved well-being for patients. This method significantly enhances the removal of waste products like phosphate and beta-2 microglobulin compared to conventional hemodialysis.
Area of Science:
- Nephrology
- Renal Replacement Therapy
- Medical Technology
Background:
- Conventional hemodialysis presents challenges in efficiency and patient tolerance.
- There is a need for long-duration dialysis modalities to improve patient outcomes.
Purpose of the Study:
- To develop and evaluate nocturnal hemodialysis as a highly efficient, long-duration treatment option.
- To assess the efficacy, tolerance, and cost-effectiveness of nocturnal hemodialysis.
Main Methods:
- Patients underwent nightly home hemodialysis for 8-10 hours, 6-7 nights/week.
- Remote patient monitoring via computer connection and internal jugular line access were utilized.
- Data from 12 patients over 30 months (160 patient-months) were collected and analyzed.
Main Results:
- Patients tolerated nocturnal hemodialysis well, sleeping through treatments, with improved well-being.
- Significantly higher weekly removal of phosphate (2x) and β2-microglobulin (4x) compared to conventional hemodialysis.
- Reduced medication needs for hypertension, decreased erythropoietin dosages, and discontinuation of phosphate binders.
Conclusions:
- Nocturnal hemodialysis is a viable and effective dialysis modality.
- It offers high-quality treatment with excellent patient tolerance and reduced costs.
- This approach improves waste product removal and patient quality of life.
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