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On-Line Hemodialysis Monitoring: New Tools for Improving Safety, Tolerance and Efficacy

  • Chapter
Modeling and Control of Dialysis Systems

Part of the book series: Studies in Computational Intelligence ((SCI,volume 405))

Abstract

Hemodialysis adequacy is a complex concept that encompasses largely the dialysis dose appraisal based on monthly blood-based urea Kt/V measurement. Renal replacement therapies should provide an efficient way to clear adequately larger molecular weight solutes, to restore normal salt, electrolytes and fluid balance, to correct salt-dependent hypertension, to improve hemodynamic stability and to reduce bio-incompatibility of the hemodialysis system. Targeting such ambitious objective is obviously under the clinical supervision and judgment of nephrologists and care givers. Monitoring and achievement of these targets as a part of a continuous quality improvement process is necessary to attain dialysis adequacy goals. This review aims to provide an overview of available online hemodialysis technologies, their current applications in clinic, and the potential for future developments in improving care of chronic kidney disease patients. In order to facilitate understanding of readers we choose to classify online monitoring devices based on their clinical action.

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Authors and Affiliations

  1. Nephrology, Dialysis and Intensive Care Unit, Lapeyronie Hospital, Nephrology Montpellier II University School of Medicine, Montpellier, France

    Bernard Canaud

  2. Lapeyronie University Hospital - CHRU, Montpellier, France

    Alexandre Granger, Leila Chenine-Khoualef, Laure Patrier & Hélène Leray-Moragués

  3. Lapeyronie University Hospital - CHRU Montpellier & Institut de Recherche et Formation en Dialyse, Montpellier, France

    Marion Morena

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  1. Bernard Canaud
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  2. Alexandre Granger
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  3. Leila Chenine-Khoualef
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  4. Laure Patrier
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  5. Marion Morena
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  6. Hélène Leray-Moragués
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Correspondence to Bernard Canaud .

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  1. Faculty of Engineering,, Misr University for Science &, Computer and Software Engineering Depart, Al-Motamayez District, 6th of October City, 12566, Egypt

    Ahmad Taher Azar

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Canaud, B., Granger, A., Chenine-Khoualef, L., Patrier, L., Morena, M., Leray-Moragués, H. (2013). On-Line Hemodialysis Monitoring: New Tools for Improving Safety, Tolerance and Efficacy. In: Azar, A. (eds) Modeling and Control of Dialysis Systems. Studies in Computational Intelligence, vol 405. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27558-6_1

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  • DOI: https://doi.org/10.1007/978-3-642-27558-6_1

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