Department of Nephrology, Dialysis and Kidney Transplant, Aristide Le Dantec Hospital, Université Cheikh Anta Diop de Dakar, Senegal
Research Article
Manual Individualization of the Dialysate Flow According to Blood Flow: Effects on the Hemodialysis Dose Delivered and on Dialysate Consumption
Author(s): Moustapha Faye*, Niakhaleen Keita, Maria Faye, Yousseph Berdai, Ahmed Tall Lemrabott, Mansour Mbengue, Bacary Ba, Seynabou Diagne, Ameth Dieng, Mamadou Aw Ba and Elhadji Fary Ka
Background: The objective of this study was to assess the impact of the decreasing dialysate flow rate (Qd) on the dialysis dose delivered (spKt/V) and to estimate the resulting water saving. Methods: It was a prospective 4-week-period study that included chronic hemodialysis patients with clinical and hemodynamic stability. Patients successively was dialysated with a Qd of 500 mL/min (Qd500), at 1 (mean Qd1 = 310 mL/min), 1.2 (mean Qd1.2 = 368 mL/min) and 1.5 (mean Qd1.5 = 464 mL/min) times the blood flow rate. Each dialysate flow rate was applied for one week. During these 4 weeks, the following parameters were constant: duration of dialysis, blood flow rate, anticoagulation, membrane nature and surface. Results: Forty-five chronic hemodialysis patients were included with a mean age of 48.4 ± 12.07 years. The weekly mean spKt/V was statistically higher with a.. View More»
DOI:
10.35248/2472-1220.20.6.181
