Intradialytic glucose infusion increases polysulphone membrane permeability and post-dilutional haemodiafiltration performances

Autor: J Y Bosc, Laurie J. Garred, Fabrice Vaussenat, Martine Leblanc, Hélène Leray-Moragues, Bernard Canaud
Rok vydání: 2000
Předmět:
Zdroj: Nephrology Dialysis Transplantation. 15:511-516
ISSN: 1460-2385
0931-0509
DOI: 10.1093/ndt/15.4.511
Popis: INTRODUCTION During real-time monitoring of the ultrafiltration coefficient (Kuf) in haemodiafiltration (HDF), it was noticed that the ultrafiltration performance of polysulphone membrane dialysers increased when hypertonic glucose (D50%) was administered through the venous blood return. METHODS This observation was explored in six non-diabetic chronic dialysis patients during 48 HDF sessions using 1.8 m(2) polysulphone membrane dialysers. In all six patients, 24 sessions were performed with glucose supplementation (as a continuous D50% (500 g/l) infusion at 40 ml/h) and 24 sessions without supplementation. RESULTS Glucose supplementation led to a marked increase in Kuf from 22.8+/-2.2 (without D50%, n=24) to 32. 1+/-3.9 ml/h/mmHg (with D50%, n=24) (P
Databáze: OpenAIRE