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Home hemodialysis (HHD) is the provision of hemodialysis to purify the blood of a person whose kidneys are not working normally, in their own home. One advantage to doing dialysis at home is that it can be done more frequently and slowly, which reduces the "washed out" feeling and other symptoms caused by rapid ultrafiltration, and it can often be done at night, while the person is sleeping.
With nocturnal hemodialysis patients are trained to provide the treatments in their home six or seven nights per week for six to eight hours per treatment. There are some scientific studies which show benefits for patients using nocturnal hemodialysis versus conventional treatments, as well as many benefits that have not been studied yet.
Some centers are offering every-other-night or thrice a week nocturnal dialysis. The benefits of giving more frequent dialysis sessions is also an area of active study, and new easy-to-use machines are permitting easier use of home dialysis, where 2–3+ hour sessions can be given 4–7 days per week.
Finally, there is growing interest in short daily home hemodialysis, which is 1.5 – 4 hr sessions given 5–7 times per week, usually at home. There is also interest in nocturnal dialysis, which involves dialyzing a patient, usually at home, for 8–10 hours per night, 3–6 nights per week. Nocturnal in-center dialysis, 3–4 times per week ...
Can be used to compare any dialysis schedule (i.e. nocturnal home hemodialysis vs. daily hemodialysis vs. conventional hemodialysis) Applicable to peritoneal dialysis. Can be applied to patients with residual renal function; it is possible to demonstrate that C o is a function of the residual kidney function and the "cleaning" provided by dialysis.
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Schematic of semipermeable membrane during hemodialysis, where blood is red, dialysing fluid is blue, and the membrane is yellow. Kidney dialysis (from Greek διάλυσις, dialysis, 'dissolution'; from διά, dia, 'through', and λύσις, lysis, 'loosening or splitting') is the process of removing excess water, solutes, and toxins from the blood in people whose kidneys can no longer ...
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