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Hemofiltration is sometimes used in combination with hemodialysis, when it is termed hemodiafiltration. Blood is pumped through the blood compartment of a high flux dialyzer, and a high rate of ultrafiltration is used, so there is a high rate of movement of water and solutes from blood to dialysate that must be replaced by substitution fluid that is infused directly into the blood line.
Renal replacement therapy includes dialysis (hemodialysis or peritoneal dialysis), hemofiltration, and hemodiafiltration, which are various ways of filtration of blood with or without machines. Renal replacement therapy also includes kidney transplantation , which is the ultimate form of replacement in that the old kidney is replaced by a donor ...
Dialysis is an imperfect treatment to replace kidney function because it does not correct the compromised endocrine functions of the kidney. Dialysis treatments replace some of these functions through diffusion (waste removal) and ultrafiltration (fluid removal). [6] Dialysis uses highly purified (also known as "ultrapure") water. [7]
A woman who received a pig kidney transplant is back on dialysis because surgeons had to remove the gradually failing organ after just 47 days. Lisa Pisano was the second person to receive a ...
Hemodialysis, also spelled haemodialysis, or simply dialysis, is a process of filtering the blood of a person whose kidneys are not working normally. This type of dialysis achieves the extracorporeal removal of waste products such as creatinine and urea and free water from the blood when the kidneys are in a state of kidney failure.
Peritoneal dialysis was first carried out in the 1920s; however, long-term use did not come into medical practice until the 1960s. [36] The timeline was 1923 – Georg Ganter performs the first peritoneal dialysis in a guinea pig and attempts the procedure in humans, without success. Hypertonic saline was used as the dialysate. [36] [37]
Effluent is collected in a sterilisation tank, where it is mixed with a chemical sterilant such as bleach. The effluent and sterilant mixture are then held for sufficient time to ensure all micro-organisms in the effluent have been sterilised. After sterilisation, the sterilant must be neutralised before the effluent can discarded into a sewer.
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