Sodium Bicarbonate Injection Pleomorphic Adenoma

1 Mion CM, Hengstrom RM, Boen ST, Scribner BH Substitution of sodium acetate for sodium bicarbonate in the bath fluid for hemodialysis. Trans Am Soc Artif Intern Organs 1964 10 110-113. 2 Madsen RF, Nielsen B, Olsen OJ, Raaschou F Reverse osmosis as a method of preparing dialysis water. Nephron 1970 7 545-558. 3 Novello A, Kelsch RC, Easterling RE Acetate intolerance during hemodialysis. Clin Nephrol 1976 5 29-32. 4 Graefe U, Follette WC, Vizzo JE, et al Reduction in dialysis-induced morbidity...

Internal Disinfection of the Dialysis Monitors

Disinfection of the monitors for dialysis, whichever method and agent used, is not a single operation but consists of a series of operations in succession which should comprise primarily a procedure of post-dialysis rinsing and pre-disinfection, then cleansing, descaling, thorough disinfection and a final post-disinfection rinse so that the machine is in perfect condition for the successive dialysis sessions. Post-Dialysis Pre-Disinfection Rinse This is done with the aim of removing all residue...

References

1 Kapoian T, Sherman RA A brief history of vascular access for hemodialysis an unfinished story. Semin Nephrol 1997 17 239-243. 2 Rundback JH, Malloy PC The use of catheters for hemodialysis overview in Gray RJ (ed) Dialysis Access A Multidisciplinary Approach. Philadelphia, Lippincott Williams & Wilkins, 2002, pp 254-282. 3 Schwab SJ, Beathard G The hemodialysis catheter conundrum hate living with them, but can't live without them. Kidney Int 1999 56 1-17. 4 Astle CM, Jensen L A trial of...

Disinfection of Disposable Dialysis Tubing

The rate of continuous cycler PD use in the hospital setting is increasing. Using a cycler frees up the nurse's time. Instead of performing 4-8 manual exchanges per day, the nurse can put up enough dialysate for a day with one connection to initiate the cycle and one disconnection to terminate the cycle. Infection rate decreases due to fewer connect disconnect procedures where touch contamination is possible. The patient can be disconnected for procedures and then reconnected to the same line....

Various Applications in Dialysis

Ronco C, Mishkin GJ (eds) Disinfection by Sodium Hypochlorite Dialysis Applications. Contrib Nephrol. Basel, Karger, 2007, vol 154, pp 139-144 Amuchina 10 Solution, Safe Antiseptic for Preventing Infections of Exit-Site of Tenckhoff Catheters, in the Pediatric Population of a Dialysis Program L. Mendoza-Guevara, F. Castro-Vazquez, A. Aguilar-Kitsu, A. Morales-Nava, F. Rodriguez-Leyva, J.L. Sanchez-Barbosa Hospital de Pediatr a, Centro Medico Nacional 'Siglo XXI', Instituto Mexicano del Seguro...

Disinfection of Peritoneal Dialysis Lines

Using Disinfectant during an Exchange The main complication of PD is peritonitis, mostly due to line or touch contamination. Using the standard technique for continuous ambulatory PD described by Oreopoulos, the peritonitis rate was approximately 1 episode every 15 patient-months at best 1 . It was not until the concepts of 'flush before fill' using the Y-set connectology also known as the Perugia system and decreasing the number of connections by using pre-connected systems or a cycler, did...

Sodium Hypochlorite And Cathether Hubs

Renal Data Systems USRDS 2004 Annual Data Report Atlas of End Stage Renal Disease in the United States Bethesda, MD, National Institutes of Health, National Institutes of Diabetes and Digestive and Kidney Diseases, 2004. 2 Mendelssohn DC, Ethier J, Elder SJ, Saran R, Port FK, Pisoni RL Haemodialysis vascular access problems in Canada results from the Dialysis Outcomes and Practice Patterns Study (DOPPS II). Nephrol Dial Transplant 2006 21 721-728. 3 Maki DG Sources of infection with...

Peritoneal Dialysis

Therefore, it is easily understandable why the problem of prevention and therapy of infectious complications in patients on CAPD has attracted a lot of interest, due to the high, direct risk of infections intrinsic in this treatment. As far as the prevention of peritonitis is concerned, consideration has been reserved to chemical agents (antisepsis). Their use has been proposed and in some extent applied in order to try to kill the micro-organisms possibly contaminating the distal end of the...

Sodium Hypochlorite For Catheter Care

More than 20 of the world's population use a catheter for dialysis, despite guidelines limiting their use. Although the structure and design of the catheters differ by manufacturer, the material used in central venous catheters and peritoneal dialysis catheters are the same across manufacturers. Given the long-term use of these catheters in the dialysis population, the good compatibility of the antiseptics and disinfectants used on the catheters is imperative to prevent failure and cracking of...

Chronic Exit Site Care of Healed Exit Site

Although sterile dressings are recommended until the exit is well-healed, there is no clear consensus as to when patients may begin to shower or change to chronic exit-site care. When the exit-site can be classified as good or equivocal, then showering and chronic care are appropriate 10 . The primary goal of exit-site care is to prevent ESIs and TIs. Exit-site care should include 1 assessment of the exit-site 2 cleansing the exit-site 3 anchoring or immobilizing the catheter and 4 protecting...

Biofilm and Disinfection in Dialysis

Hypochlorite Sodium Biofilm

Disinfection enters the quality assurance program in dialysis and represents part of the various anti-inflammatory treatment strategies adopted to improve outcome in these patients. Several liquid chemical germicides or physical disinfectant techniques are commercially available and choice is based not only on effectiveness but also Fig. 1. Subsequent phases of biofilm formation with bacterial deposition a , attachment b , growing c up to a mature biofilm d onto a silicone tube from a dialysis...