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- W4310642156 abstract "Prescribing dialysate sodium is the responsibility of the physician, but there are currently no clear guidelines for this prescription. Furthermore, there is quite frequently a significant difference between prescribed and measured dialysate sodium. Several arguments, both theoretical and experimental, suggest that dialysate sodium should be adjusted individually in such a way as to result in a decreasing sodium profile that takes into account the patient's predialytic natremia. The generalization in clinical routine of this strategy requires the integration into the hemodialysis monitor of software making the machine capable to automatically adjust the dialysate sodium at each session. The only three such softwares that have been integrated into hemodialysis machines for routine clinical use are discussed. All three work with conductivity measurements as a surrogate for sodium concentrations. Although there are only a few publications on the use of these softwares in clinical practice, they appear to result in improved intradialytic tolerance to the dialysis treatment, better control of hypertension, and reduced thirst, leading to decreased interdialytic weight gain." @default.
- W4310642156 created "2022-12-13" @default.
- W4310642156 creator A5010184036 @default.
- W4310642156 creator A5040657489 @default.
- W4310642156 date "2022-12-02" @default.
- W4310642156 modified "2023-09-26" @default.
- W4310642156 title "Automated adjustment of dialysate sodium by the hemodialysis monitor: Rationale, implementation, and clinical benefits" @default.
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- W4310642156 doi "https://doi.org/10.1111/sdi.13132" @default.
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