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Hemodialysis Machines and Monitors

  • Hans-Dietrich Polaschegg
  • Nathan W. Levin

Abstract

The last decade has seen not only an enormous growth in the number of hemodialysis patients but also a concomitant growth in the number of hemodialysis machines produced every year by fewer companies than 10 years ago. Because the risk of accidents increases with the number of different machines in the field, standard organizations and government authorities worldwide have issued standards and laws that regulate the design of hemodialysis machines. Both effects have slowed the development of new concepts and the effective use of modern technology in hemodialysis machines. The extracorporeal circuit has remained unchanged for more than twenty years. Bicarbonate dialysis with single patient machines and volumetric ultrafiltration control which were developed in the late 70s took more than 10 years to be generally accepted. Cost pressure has been an effective driving force for the introduction of new technology. High-efficiency dialysis was introduced in order to reduce treatment time. Underdialysis of many patients was the result because in many cases the shortening of the treatment time was not sufficiently compensated for by the increased efficacy of the dialysis process

Keywords

Blood Pump Extracorporeal Circuit Dialysate Flow Ultrafiltration Rate Substitution Fluid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Hans-Dietrich Polaschegg
    • 1
  • Nathan W. Levin
    • 2
  1. 1.OberurselGermany
  2. 2.Division of NephrologyBeth Israel Medical CenterNew YorkUSA

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