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Successful Practice Transitioning Between Hemodialysis and Hemodiafiltration in Outpatient Units: Ten Key Issues for Physicians to Remember

机译:在门诊单位的血液透析和血液透析之间的成功实践转换:注意医生记住的十个关键问题

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Abstract Hemodiafiltration (HDF) during chronic renal replacement therapy (RRT) is a relatively new practice phenomenon, emerging over the last two decades. While the technological platforms utilized during chronic RRT are in many cases similar or effectively identical to conventional hemodialysis (HD), significant differences may emerge in daily practice. Several authors of this review moved practice site between the United States and the European Union and transitioned from an HD‐based practice to predominantly HDF‐practicing networks. In doing so, we became keenly aware of the potential pitfalls nephrologists may be facing during such transitions. This brief review is intended to provide a succinct overview of several practical concerns and complications nephrologists may encounter in daily practice of end‐stage renal disease care, including but not limited to management of electrolytes, renal anemia and treatment goals and settings during HDF.
机译:慢性肾置换疗法(RRT)期间的血液透析(HDF)是一个相对较新的实践现象,在过去的二十年中出现。 虽然在慢性RRT期间使用的技术平台在许多情况下与常规血液透析(HD)相似或有效地相同,但日常实践中可能出现显着差异。 本综述若干作者在美国和欧盟之间移动了练习现场,并从基于HD的做法转换为主要是HDF练习网络。 在这样做时,我们敏锐地意识到潜在的陷阱在这种过渡期间可能面临的缺陷。 本简要审查旨在提供简洁的概述,概述了几种实际问题,并发症肾病在末期肾病护理的日常实践中可能会遇到,包括但不限于电解质的管理,肾病症和HDF期间的治疗目标和环境。

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