Guideline for dialysate quality of Spanish Society of Nephrology (second edition, 2015)

Pérez‐García, Rafael; Maset, Rafael García; Parra, Emilio González; Campos, Carlos Solozábal; Chamond, Rafael Ramírez; Martín‐Rabadán, Pablo; Pérez, Pedro Enrique Sobrino; Pereira, Ovidio Gallego; Dominguez, Jon; Matute, Enrique de la Cueva; Ferllen, Ricardo

doi:10.1016/j.nefroe.2016.03.004

Cited by 9 publications

(14 citation statements)

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“…Although arteriovenous fistulas and grafts are highly recommended by nephrology guidelines (Bourbonnais, Slivar, & Tucker, 2016; Perez‐Garcia et al, 2016), venous catheters are being increasingly adopted for HD vascular access with regard to their convenience (Mandolfo et al, 2014). However, the use of venous catheters for HD may give rise to higher risks of infection and bleeding, and many strategies are conducted to combat adverse events during HD (Canaud, Collins, & Maddux, 2020).…”

Section: Discussionmentioning

confidence: 99%

Heparin locks with low and high concentration in haemodialysis patients: A systematic review and meta‐analysis

Tan

Ning

Zhang

et al. 2020

Int J of Nursing Practice

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AimThere is no evidence‐based consensus on the optimal concentration for heparin locks; several randomized controlled trials (RCTs) have evaluated the concentration of heparin locks, yet the results remain inconsistent. We aimed to assess heparin locks with low and high concentration in haemodialysis patients.MethodsWe performed a systematic review and meta‐analysis of RCTs focusing on the concentration in heparin locks. Studies were identified by searching PUBMED, EMBASE, Science Direct, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure (CNKI) and Wanfang databases (from inception to 15 March 2020). Summary risk ratios or mean differences with 95% confidence interval were calculated.ResultsA total of 370 patients with four RCTs were included. Heparin locks with 1000 U/ml could significantly reduce the activated partial thromboplastin time (APTT) compared with 5000 U/ml. No significant differences were seen in the occurrence of catheter‐related thrombosis, the length of catheter stay, the rates of bleeding and catheter occlusions between the two groups.ConclusionsLower concentrations in heparin lock are optimal for shortening APTT in haemodialysis patients; further studies are needed to elucidate the role of heparin concentration in the lock practice.

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Section: Discussionmentioning

confidence: 99%

Heparin locks with low and high concentration in haemodialysis patients: A systematic review and meta‐analysis

Tan

Ning

Zhang

et al. 2020

Int J of Nursing Practice

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“…Moreover, high flux HD using an ultrapure dialysis fluid is found to have better cardiovascular event‐free survival and overall survival . Finally, guidelines supporting the regular use of ultrapure dialysis fluid for all HD modalities have also been published …”

Section: Water Qualitymentioning

confidence: 99%

“…10 Finally, guidelines supporting the regular use of ultrapure dialysis fluid for all HD modalities have also been published. [11][12][13][14] Sterile fluid should contain bacterial count <10 −6 CFU/ mL and endotoxin <0.03 EU/mL. Such criteria should apply to the online-produced substitution fluid for HDF or haemofiltration.…”

Section: Audit Itemsmentioning

confidence: 99%

Clinical practice guidelines for the provision of renal service in Hong Kong: Haemodialysis

Cheng

Tang²,

Tong³

2019

Nephrology

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“…HD requires a water treatment system to eliminate potentially dangerous components for the patients (such as chloramines, endotoxins, etc.) that can lead to anemia, neurological issues, bone disease, and even death (7)(8)(9). The treatment of water for HD requires several mandatory steps to be considered fit for use.…”

Section: Reuse and Recycle Of Reverse Osmosis Rejection Watermentioning

confidence: 99%

Blue Planet dialysis: novel water-sparing strategies for reducing dialysate flow

et al. 2017

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Conservation of water in chronic HD should be considered an important responsibility of healthcare practitioners all over the world. We present a wider usage of dialysate flow rates, considering that it would lead to significant water conservation without much compromise on dialysis efficacy in small patients. We believe that further investigation into the utility of reduced dialysate flux in different populations is needed to broaden our understanding of how we can use these techniques in order to significantly reduce water consumption during chronic HD while still ensuring optimum efficacy and efficiency of the therapy.

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Guideline for dialysate quality of Spanish Society of Nephrology (second edition, 2015)

Cited by 9 publications

References 0 publications

Heparin locks with low and high concentration in haemodialysis patients: A systematic review and meta‐analysis

Heparin locks with low and high concentration in haemodialysis patients: A systematic review and meta‐analysis

Clinical practice guidelines for the provision of renal service in Hong Kong: Haemodialysis

Blue Planet dialysis: novel water-sparing strategies for reducing dialysate flow

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