EDTNA/ERCA European Dialysis and Transplant Nurses Association/European Renal Care Association Riga 2014
Patient-centred Renal Care – A Multidisciplinary Approach to Holistic Health
Journal of Renal Care

EDTNA/ERCA Journal 2.2007

Continuous blood volume monitoring and "dry weight" assessment

František Lopot, Ph.D.

This paper reviews the estimation of dry weight as target and the adequate ultrafiltration strategy in order to provide if possible, symptom free dialysis. The article reviews the continuous blood volume monitoring procedures used to achieve this. The existing approaches are divided in three groups - methods defining certain alert value of relative blood volume (RBV) reduction, methods working with RBV response to constant UF rate, methods evaluating dynamics of RBV response to UF pulse or chain of UF pulses. At present all discussed methods have been evaluated on small patient cohorts.

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Relative Blood Volume based Biofeedback during Haemodialysis

Judith J. Dasselaar

This paper examines intra-dialtic hypotension as complication which can lead to serious complications. Biofeedback technologies can diminish the severity and/or frequency of dialysis hypotension. The goal of RBV based biofeedback systems is to prevent a severe or abrupt decease in blood volume in order to prevent the development of dialysis hypotension. A completely symptom-free HD is not a reality. The major reasons for this are patient characteristics such as cardiovascular co-morbidity and high UF rates and a lack of understanding of the relation between RBV changes and blood pressure/cardiovascular stability.

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Microbiological monitoring of dialysis water systems - which culture method?

James R

Guidelines for the microbiological testing of water for dialysis suggest different culture methods. This paper considers using R2A media with three different times and temperatures. Samples were cultured at 22°C for 7 days, 37°C for 2 days and 30°C for 5 days. Culturing using the stated temperature and times produces large variations in reported levels of contamination.

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Needle Stick Injuries - Risk from Blood Contact in Dialysis

Andreas Wittmann, Friedrich Hofmann and Nenad Kralj

This paper will examine the experience of Needle Stick Injuries (NSI) in Germany. There is evidence that these experiences have relevance for the whole of Europe (2). The protective measures described in this paper are important for the safety of all health care workers. This paper will describe incidents of NSI with reference to sero-conversion after the incident. The protection of health care workers is of prime importance and this paper will discuss the most successful methods of protection and the cost implications.

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Calciphylaxis: Calcific Uraemic Arteriolopathy. A case study

Byrne H, Lloyd S.

his case study looks at the problem of calciphylaxis. This condition is also known as calcific uraemic arteriolopathy and is a syndrome of medical calcification of the small arteries. The pathogenesis of this condition remains uncertain. However, vascular calcium deposition is thought to be important, and raised serum phosphate levels were associated with a substantially increased risk of calciphylaxis. The implications for nurses are early detection, to allow speedy treatment to take place and involvement of the multidisciplinary team to enhance care and provide as much support as possible.

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Evaluation of response to various erythropoiesis - stimulating proteins using anemia management software

Waterschoot M.

This prospective observational study was aimed at educating nurses to assess Hb response to ESPs and to identify potential causes of hyporesponse. using anemia management software (ARAMIS™). The secondary aims were to follow anemia parameters and identify the frequency and causes of hyporesponse to ESPs for 6 months. The ARAMIS™ tool served as an educational tool allowing efficient follow-up of Hb and ESP dose, and identification of potential causes of hyporesponse.

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Selection of donor and organ viability criteria: expanding donation criteria

Eduardo Gutiérrez, Amado Andrés.

This paper will discuss the criteria, which is continually changing, for donated organs. These criteria attempt to assure that the transplanted organs function after the extraction, transformation, implantation and reperfusion process without transmitting any infectious disease or tumour.  The use of each organ must be decided individually after a profound analysis of all the viability criteria weighing the advantages and disadvantages of the implant of a certain organ for the recipient.

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