n CME : Your SA Journal of CPD - Technology in nephrology : main topic
|Article Title||Technology in nephrology : main topic|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Author||M.D. Pascoe and J.A. Halkett|
|Publication Date||Apr 2003|
|Pages||206 - 211|
|Keyword(s)||Dialysis, Nephrology, Renal failure and Technology|
Early nephrological referral allows for uncomplicated transition to dialysis and improves long-term survival. <br>Peripheral veins require careful preservation for future vascular access in patients with renal disease. <br>Improved biocompatibility of modern polysulphone and other membranes reduces the inflammatory response to dialysis. <br>The increased permeability of these modern membranes improves the clearance of solutes but does require volumetrically controlled machines. <br>Volumetric dialysis equipment allows the patient's fluid balance to be very precisely controlled. <br>Continuous dialysis therapies for acute renal failure allow for dialysis for acutely ill patients who would not tolerate standard intermittent haemodialysis. <br>Continuous dialysis for acute renal failure allows for intensive nutritional support and improved and more stable metabolic and volume control than standard dialysis. <br>Continuous dialysis is the treatment of choice for patients with raised intracranial pressure. <br>Bicarbonate-buffered dialysis fluid provides better acid-base control than standard acetate dialysis. <br>Advances in technology are expensive and cost control is of increasing importance.
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