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Post-Dilution High-Volume Hemodiafiltration: The Next Generation of Kidney Replacement Therapy, A Practical Guide for Physicians

This handbook offers physicians and clinicians a comprehensive overview of the key components required to implement post-dilution high-volume hemodiafiltration (Hv-HDF). It includes 10 chapters that cover the evolution of dialysis modalities—particularly the progression from conventional hemodialysis (HD) to Hv-HDF—the mechanisms of hemodiafiltration (HDF), clinical evidence supporting its benefits, health economics and sustainability, practical guidance on implementation, strategies for patient selection, and considerations for medication management in patients undergoing HDF.

Brief History of Hemodialysis

Dialysis was first described by Thomas Graham in 1854.

Hemodialysis Modalities

This section will discuss various hemodialysis regimens and extracorporeal modalities.

Hemodialysis Access

The primary goal of chronic HD vascular access is to provide repeated access to the circulation with minimal complications.

Access Complications

Complications of hemodialysis (HD) access create significant problems for renal practitioners, the healthcare system and especially for individuals living with end stage renal disease.

Sodium Modeling

Many modern dialysis machines offer options for ultrafiltration (UFP) and sodium profiling (or sodium variation system [SVS]).

History of PD

Peritoneal dialysis has its roots in the early civilizations, when the existence of the peritoneum was recognized.

Basic Principles of Peritoneal Dialysis (PD)

The anatomy of peritoneum and physiology of peritoneal transport are described in these articles to help understand the basic principles of Peritoneal Dialysis (PD).

Peritoneal Transport

This section contains articles related to peritoneal transport including testing methods, transport status classification, and changes in peritoneal membrane function after PD exposure.

PD Adequacy

This section contains articles related to achieving peritoneal dialysis adequacy such as PD prescription, dose, volume, and monitoring PD patients.

Ultrafiltration

Volume control and achieving adequate ultrafiltration in peritoneal dialysis are discussed in this section.

Peritoneal Dialysis (PD) Access

This section will discuss peritoneal dialysis access including types of PD catheters, placement, pre, intra, and post-operative managements, and complications of PD catheter.

Clinical Outcomes

This article will discuss overall mortality trends and clinical factors that influence mortality in HD and PD patients.

Critical Care

These articles will discuss management of critically ill patients with kidney impairment and provide an overview of continuous kidney replacement therapy.

Nutritional Parameters in Dialysis Patients

Review key nutritional parameters, such as albumin, phosphorus and calcium that may affect dialysis patient outcomes.

What is Dialysis?

Diffusion is a therapy that removes water and toxins from the body. Dialysis is typically applied in patients with acute or chronic kidney failure.

Numbers - Their Use and Interpretation

These articles are not a math primer, but point to a few areas where we require some familiarity with mathematics over and above that which gets us through the weekend shopping.

Medication Use in CKD Patients

These articles will discuss an overview of various medications used in CKD patients, including those that offer kidney protective benefits.

Kidney Transplant

These articles will provide an overview of kidney transplant in patients with end-stage kidney disease.

Conditions Contributing to Nephropathy

These articles will discuss overviews of various conditions that contribute to nephropathy, including diabetic kidney disease and Alport Syndrome.

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