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The ideal home hemodialysis machine

Kjellstrand, Carl and Kjellstrand, Per LU (2008) In Hemodialysis International 12(Suppl. 1). p.33-39
Abstract
Daily home hemodialysis (HD) patients have a much superior survival rate than patients on regular, 3 times a week in-center HD or on peritoneal dialysis. Present-day HD machines are unsuitable for use at home by patients. We present our concept of the ideal home HD machine that allows daily short and long HD, does all the work preparing for and cleaning up after dialysis, has an intravenous infusion system controlled by the patient, needs no systemic anticoagulation, and teaches and interacts with the patient during dialysis. To fulfill these functionalities, the dialyzer and blood tubing must be integrated with the machine and replaced less often than monthly, the machine must be capable of at least 200 L/week of hemodiafiltration,... (More)
Daily home hemodialysis (HD) patients have a much superior survival rate than patients on regular, 3 times a week in-center HD or on peritoneal dialysis. Present-day HD machines are unsuitable for use at home by patients. We present our concept of the ideal home HD machine that allows daily short and long HD, does all the work preparing for and cleaning up after dialysis, has an intravenous infusion system controlled by the patient, needs no systemic anticoagulation, and teaches and interacts with the patient during dialysis. To fulfill these functionalities, the dialyzer and blood tubing must be integrated with the machine and replaced less often than monthly, the machine must be capable of at least 200 L/week of hemodiafiltration, prepare all fluids necessary between and during dialyses, and all the components and fluids must be much beyond ultrapure. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
hemodiafiltration, ultrapure, daily hemodialysis, home hemodialysis
in
Hemodialysis International
volume
12
issue
Suppl. 1
pages
33 - 39
publisher
Wiley-Blackwell
external identifiers
  • wos:000257679800008
  • scopus:47649124552
  • pmid:18638239
ISSN
1542-4758
DOI
10.1111/j.1542-4758.2008.00293.x
language
English
LU publication?
yes
id
88db7e1a-3eff-418b-af8f-f58656d6f95b (old id 1254979)
date added to LUP
2016-04-01 11:47:39
date last changed
2022-01-26 18:19:00
@article{88db7e1a-3eff-418b-af8f-f58656d6f95b,
  abstract     = {{Daily home hemodialysis (HD) patients have a much superior survival rate than patients on regular, 3 times a week in-center HD or on peritoneal dialysis. Present-day HD machines are unsuitable for use at home by patients. We present our concept of the ideal home HD machine that allows daily short and long HD, does all the work preparing for and cleaning up after dialysis, has an intravenous infusion system controlled by the patient, needs no systemic anticoagulation, and teaches and interacts with the patient during dialysis. To fulfill these functionalities, the dialyzer and blood tubing must be integrated with the machine and replaced less often than monthly, the machine must be capable of at least 200 L/week of hemodiafiltration, prepare all fluids necessary between and during dialyses, and all the components and fluids must be much beyond ultrapure.}},
  author       = {{Kjellstrand, Carl and Kjellstrand, Per}},
  issn         = {{1542-4758}},
  keywords     = {{hemodiafiltration; ultrapure; daily hemodialysis; home hemodialysis}},
  language     = {{eng}},
  number       = {{Suppl. 1}},
  pages        = {{33--39}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Hemodialysis International}},
  title        = {{The ideal home hemodialysis machine}},
  url          = {{http://dx.doi.org/10.1111/j.1542-4758.2008.00293.x}},
  doi          = {{10.1111/j.1542-4758.2008.00293.x}},
  volume       = {{12}},
  year         = {{2008}},
}