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

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

477
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...
477
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

203
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,...
203
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

301
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...
301
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis

51
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...
51
Dialysis01:27

Dialysis

753
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...
753
Dialysis01:15

Dialysis

938
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...
938

You might also read

Related Articles

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

Sort by
Same author

Proactively boosting home dialysis adoption in Europe.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association·2024
Same author

Unlocking the untapped potential: the neglected home dialysis assets in Europe.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association·2024
Same author

Assisted PD throughout Europe: advantages, inequities, and solution proposals.

Journal of nephrology·2023
Same author

Availability of assisted peritoneal dialysis in Europe: call for increased and equal access.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association·2022
Same author

[Home hemodialysis].

Wiener klinisches Magazin : Beilage zur Wiener klinischen Wochenschrift·2022
Same author

[Standardized histomorphological processing of peritoneal biopsies as part of the German Peritoneal Biopsy Registry (GRIP, German registry in PD)].

Der Pathologe·2020
Same journal

Der nephrologe·2022
Same journal

[KDIGO guideline on the evaluation and management of candidates for kidney transplantation].

Der nephrologe·2022
Same journal

Der nephrologe·2021
Same journal

[Innovations in peritoneal dialysis].

Der nephrologe·2021
Same journal

[Consensus Paper "Palliative renal care"].

Der nephrologe·2021
Same journal

[Strategies for effective treatment of ANCA-associated vasculitides with fewer side effects].

Der nephrologe·2021
See all related articles

Related Experiment Video

Updated: Oct 23, 2025

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
04:36

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis

Published on: October 2, 2020

2.4K

[Home hemodialysis].

Benno Kitsche1,2, Dieter Bach1

  • 1Kuratorium für Dialyse und Nierentransplantation e. V., Köln/Neu-Isenburg, Deutschland.

Der Nephrologe
|August 18, 2021
PubMed
Summary
This summary is machine-generated.

Home hemodialysis (HHD) is underutilized in Germany due to declining education and services. Innovative wearable and implantable artificial kidneys promise improved patient mobility and reduced healthcare costs.

Keywords:
Artificial kidneysPortable dialysis machinesQuality of lifeRenal replacement therapyTrend

More Related Videos

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

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

Published on: July 19, 2018

15.6K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

511

Related Experiment Videos

Last Updated: Oct 23, 2025

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
04:36

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis

Published on: October 2, 2020

2.4K
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

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

Published on: July 19, 2018

15.6K
An Open-Source Normothermic Perfusion System Designed for Research Scientists
11:23

An Open-Source Normothermic Perfusion System Designed for Research Scientists

Published on: July 18, 2025

511

Area of Science:

  • Nephrology
  • Medical Technology

Context:

  • Home hemodialysis (HHD) was crucial but is now neglected in Germany, with <0.8% of patients treated.
  • Dialysis machine development prioritized center-based machines, limiting patient mobility.
  • Lack of HHD education and services hinders its adoption.

Purpose:

  • To highlight the decline of HHD in Germany.
  • To discuss the potential of innovative artificial kidney technologies.
  • To advocate for a transition in renal replacement therapy.

Summary:

  • HHD knowledge and services have diminished in Germany, leading to low patient utilization.
  • Current dialysis technology limits patient mobility and independence.
  • New wearable and implantable artificial kidneys offer a promising alternative.

Impact:

  • Innovative devices can enhance patient quality of life and independence.
  • These advancements may alleviate issues like organ shortages and waiting list mortality.
  • Reduced healthcare costs and resource consumption (water, electricity) are anticipated.