End Stage Renal Disease
Conditions
Keywords
hemodialysis, modeling, Citrate anticoagulation
Brief summary
The primary purpose of this study is to validate a mathematical modeling of treatment by intermittent hemodialysis using regional citrate anticoagulation with a dialysate containing calcium
Detailed description
The only visit to the study will be carried out during a usual dialysis session in the intensive care unit of Clermont-Ferrand University Hospital. In addition to the usual care, 2 blood samples will be taken from the blood circuit 1 hour after the start of the hemodialysis session by the nurse in charge of the patient.
Interventions
2 blood samples will be taken from the blood circuit 1 hour after the start of the hemodialysis session by the nurse in charge of the patient.
Sponsors
Study design
Eligibility
Inclusion criteria
* Major patient; * Man or woman ; * Treated with intermittent hemodialysis for chronic renal failure; * In whom intermittent hemodialysis with citrate solution for regional anticoagulation is indicated; * Affiliated with a social security scheme; * Having given a signed agreement after detailed explanation of the protocol on the basis of the information sheet and likely to comply with it
Exclusion criteria
* Severe hepato-cellular insufficiency (PT \<50%, INR\> 1.5 without anticoagulant); * Hemoglobin level \<7 g / dL * Presenting a psychiatric pathology or cognitive impairment rendering him unable to give informed consent; * Persons under guardianship, curatorship, deprived of liberty or safeguard of justice * Pregnant or breastfeeding women * Patient's refusal to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ionized calcium level | day 0 | measured at dialyzer inlet, in mmol/L |
| Total calcium level | day 0 | measured at dialyzer inlet, in mmol/L |
| Total citratemia | day 0 | measured at dialyzer inlet, in mmol/L |
Countries
France