Guide to Reprocessing of Hemodialyzers

Guide to Reprocessing of Hemodialyzers

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The purpose of this book is to provide information for the nephrologist to gain a perspective on the medical, scientific, and technical aspects of reprocess ing of hemodialyzers. The book is also designed to serve the needs of the associated medical, nursing, and technical staffs of dialysis facilities for data on reuse of hemodialyzers. As an information source, the book will prove to be useful for those who may be considering reprocessing of dialyzers, as well as persons who are currently involved in this aspect of the practice of nephrology. We have focused on the clinical and technological aspects of hemodialyzer reprocessing and have not dealt with socioeconomic considerations. We do wish to share with physicians performing hemodialysis several observations we have made as a result of assembling this volume. We believe that hemodialyzer reuse has had a beneficial impact on the quality of care for hemodialysis patients in consideration of the following factors. There is an increased awareness of membrane biocompatibility issues that has been brought to the forefront with the application of reuse. Utilization ofhemodialyzer reprocess ing has enabled nephrologists . to compare the effect of various measures on biocompatibility when the patient is exposed to either a new or a reprocessed device. Previously, few readily available comparisons existed. In the practice of dialysis, water quality has always been of considerable importance. With the advent of widespread hemodialyzer reprocessing, the issues of water bacteriology and water quality have become more prominent.The investigators used a Renatron automated reuse machine (Renal Systems) for this study. ... The dialyzers studied were Fresenius/Dylade Hemoflow D2 hollow fiber dialyzers with CUPROPHANaquot; membranes. In this somewhat limited study, observations were that no leukopenia occurred early in dialysis after storage of the hemodialyzer ... function and biocompatibility of reused hemodialyzers, Hoenich and associates employed both manual and automated reuse procedures [18].

Title:Guide to Reprocessing of Hemodialyzers
Author:Norman Deane, Robert J. Wineman, James A. Bemis
Publisher:Springer Science & Business Media - 2012-12-06


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