haemodialysis treatment with artificial kidney
Conditions
Interventions
Treatment 1: Low-flux haemodialysis
Qb: 350ml/min
Qd: 700ml/min. Temp: 36°C
Gambro AK 200 Ultra S
Gambro Polyflux 17 L
4 hours
Nadoparin: 1st shot and 2nd shot after 2 hours.
Treatment 2:
High-flux
Sponsors
Universitair Medisch Centrum Sint Radboud
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Dialysis patients > 18 years of age. Dialysis > 3 months. Signed informed consent. Uncomplicated hemodialysis. AV fistula with flow > 350ml/min. Residual function
Exclusion criteria
Exclusion criteria: Instable dialysis No bleeding tendency. No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Dialysate samples: Samples collected: continuously and separated in aliquots every hour. Phosphate, Cystatine C, Beta 2 Microglobuline, Vitamin B12, Urea, Creatinin. Blood samples: Before start treatment: Haemoglobin, Haematocrit, Albumin, CRP. Before and during treatment: Samples collected: before treatment, every hour and at treatment end. Before artificial kidney and just before venous return. (i.e. after post dilution substitution) Phosphate, Cystatine C, Beta 2 Microglobuline, Vitamin B12, Urea, Creatinin, Albumin, Haematocrit. Once every type of treatment: D-dimeer en TAT as measures of degree of clotting in the artificial kidney. Before and after treatment. Anti- Xa as measure of activity of Nadoparin. Before and after treatment. C3D as measure of complement activation. After treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Diascan measurement on the Gambro AK 200-Ultra S. | — |
Countries
Netherlands
Outcome results
None listed