
Lesley Rees
et al.
Published online:
01 March 2019
Published in print:
01 February 2019
Online ISBN:
9780191826863
Print ISBN:
9780198784272
Contents
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Haemodialysis: principles Haemodialysis: principles
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Haemodialysis: the machine, dialysate, and water Haemodialysis: the machine, dialysate, and water
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Haemodialysis: factors affecting the prescription Haemodialysis: factors affecting the prescription
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The extracorporeal circuit The extracorporeal circuit
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The haemodialyser The haemodialyser
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Types of haemodialysis Types of haemodialysis
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Length of session Length of session
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Frequency of sessions Frequency of sessions
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Blood pump speeds Blood pump speeds
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Estimation of target weight Estimation of target weight
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Fluid removal Fluid removal
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Anticoagulation Anticoagulation
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Biochemistry Biochemistry
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Administration of blood products Administration of blood products
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Haemodialysis: complications Haemodialysis: complications
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Common complications Common complications
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Treatment of intradialytic hypotension Treatment of intradialytic hypotension
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Less common complications Less common complications
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Haemodialysis: adequacy Haemodialysis: adequacy
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Haemodialysis: vascular access Haemodialysis: vascular access
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Tunnelled lines Tunnelled lines
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Vascular access infection Vascular access infection
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Catheter-related infections Catheter-related infections
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Definitions Definitions
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Prevention Prevention
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Factors increasing the risk of catheter infection Factors increasing the risk of catheter infection
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Treatment of exit site, tunnel, and catheter infections Treatment of exit site, tunnel, and catheter infections
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Removal of the catheter associated with septicaemia Removal of the catheter associated with septicaemia
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Replacement of the line Replacement of the line
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Fistulae Fistulae
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Preoperative assessment Preoperative assessment
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The surgery The surgery
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Postoperative care of the fistula Postoperative care of the fistula
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Cannulation of the arterialized veins when the fistula is mature Cannulation of the arterialized veins when the fistula is mature
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Fistula stenoses Fistula stenoses
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Other complications Other complications
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Grafts and shunts Grafts and shunts
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Haemodialysis: blood-borne viruses Haemodialysis: blood-borne viruses
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Reference Reference
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Continuous renal replacement therapy Continuous renal replacement therapy
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Background Background
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Advantages Advantages
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Disadvantages Disadvantages
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The prescription The prescription
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Anticoagulation Anticoagulation
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Reference Reference
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Reference Reference
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Plasmapheresis and immunoadsorption Plasmapheresis and immunoadsorption
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Plasma exchange Plasma exchange
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The process The process
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Complications Complications
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Renal diseases for which it has been used Renal diseases for which it has been used
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Immunoadsorption Immunoadsorption
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Chapter
20 C20Extracorporeal treatment
Get access
Pages
C20–C20.P371
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Published:February 2019
Cite
Rees, Lesley, and others, 'Extracorporeal treatment', Paediatric Nephrology, 3 edn, Oxford Specialist Handbooks in Paediatrics (Oxford , 2019; online edn, Oxford Academic, 1 Mar. 2019), https://doi.org/10.1093/med/9780198784272.003.0020, accessed 3 May 2025.
Abstract
This chapter focuses on all aspects of haemodialysis: the principles, including vascular access; the machine, dialysate, and water; the prescription; complications; assessment of adequacy; and blood-borne viruses. Continuous renal replacement therapy, plasmapheresis, and immunoadsorption are also discussed.
Keywords:
haemodialysis, fistula, machine, dialysate, prescription, complications, blood-borne viruses, continuous renal replacement therapy, plasmapheresis, immunoadsorption
Subject
Paediatrics
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
© Oxford University Press
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