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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

364
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...
364
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

161
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,...
161
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

242
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...
242
Dialysis01:27

Dialysis

530
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...
530
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

161
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
161
Peritoneal Dialysis I: Introduction and Procedure01:30

Peritoneal Dialysis I: Introduction and Procedure

368
Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...
368

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Proactively boosting home dialysis adoption in Europe.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association·2024
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Unlocking the untapped potential: the neglected home dialysis assets in Europe.

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

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Updated: Oct 1, 2025

Measurement of Tissue Oxygenation Using Near-Infrared Spectroscopy in Patients Undergoing Hemodialysis
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[Home hemodialysis].

Benno Kitsche1,2, Dieter Bach1

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

Wiener Klinisches Magazin : Beilage Zur Wiener Klinischen Wochenschrift
|March 9, 2022
PubMed
Summary
This summary is machine-generated.

Home hemodialysis (HHD) is underutilized in Germany due to declining expertise. Innovative wearable and implantable artificial kidneys promise to improve patient independence and reduce healthcare costs.

Keywords:
Artificial kidneysPortable dialysis machinesQuality of lifeRenal replacement therapyTrend

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Area of Science:

  • Nephrology
  • Medical Technology

Context:

  • Home hemodialysis (HHD) was once a cornerstone of renal replacement therapy in Germany but has declined significantly.
  • Current educational neglect and insufficient services have led to HHD being used by less than 0.8% of patients.
  • Dialysis machine development has prioritized center-based machines, limiting patient mobility and activities.

Purpose:

  • To highlight the decline of home hemodialysis in Germany.
  • To discuss the emergence of innovative wearable and implantable artificial kidneys.
  • To explore the potential of new technologies to address challenges in renal replacement therapy.

Summary:

  • Home hemodialysis (HHD) in Germany has seen a significant decline due to a loss of knowledge and focus on center-based dialysis.
  • The development of innovative wearable and implantable artificial kidneys offers a new paradigm for renal replacement therapy.
  • These advancements aim to enhance patient quality of life, independence, and mobility while reducing healthcare system burdens.

Impact:

  • Improved quality of life and reduced mortality for patients with kidney failure.
  • Potential solutions for nephrology challenges like personnel shortages and organ donor scarcity.
  • Reduced healthcare system costs and decreased environmental impact through regenerative techniques.