A primer for the prescription of short-daily and nocturnal hemodialysis.
More frequent and intensive hemodialysis (HD) schedules continue to garner interest internationally. Two dominant regimens have emerged, namely short-daily and nocturnal HD. A growing body of observational data suggests that these regimens allow more rigorous control of biochemical and physical parameters when compared with conventional HD. This review describes the methodology used in providing more frequent or sustained HD both in center and at home, and attempts to provide a physiological rationale for the practices described in the current literature.
Benaroia
Mark
M
Department of Nephrology, Humber River Regional Hospital, Toronto, Ontario, Canada.
Pierratos
Andreas
A
Nesrallah
Gihad E
GE
D001071:Appointments and Schedules; D002408:Catheters, Indwelling / Q000592:standards; D006437:Hemodialysis, Home / Q000379:methods*; D006699:Home Care Services; D006801:Humans; D010353:Patient Education as Topic; D006435:Renal Dialysis / Q000379:methods*; D012449:Safety; D013997:Time Factors