Haemodialysis at home: review of current dialysis machines
Haemodialysis at home: review of current dialysis machines
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DOI：
10.1080/17434440.2018.1465817
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发表时间：
2018-01-01
影响因子：
3.1
通讯作者：
Davenport, Andrew
中科院分区：
文献类型：
--
作者：
Haroon, Sabrina;Davenport, Andrew
目前，只有少数接受血液透析治疗的慢性肾病患者在家中接受治疗。直到最近，可供这些患者使用的唯一类型的血液透析机是用于中心透析治疗的标准机器的稍微小一点的版本。涵盖的领域：现在有专门为家庭血液透析设计的另一代透析机。家庭透析患者想要一个更小的机器，它使用直观，易于故障排除，坚固可靠，快速设置和放置，需要最少的废物处理。为家庭透析设计的机器在触摸屏患者界面和使用预先准备好的墨盒来加快机器设置方面有一些相似之处。另一方面，它们在使用较慢的或标准的透析液流量、制备批量的透析液、需要单独的水净化设备、还是这是集成的、或使用预先准备好的无菌透析液袋等方面存在差异。专家评论：透析机的复杂性是减少选择家庭血液透析的患者数量的障碍之一，新一代易于使用的透析机的引入有望增加选择家庭血液透析的患者数量。
Introduction: Only a minority of patients with chronic kidney disease treated by hemodialysis are currently treated at home. Until relatively recently, the only type of hemodialysis machine available for these patients was a slightly smaller version of the standard machines used for in-center dialysis treatments.Areas covered: There are now an alternative generation of dialysis machines specifically designed for home hemodialysis. The home dialysis patient wants a smaller machine, which is intuitive to use, easy to trouble shoot, robust and reliable, quick to setup and put away, requiring minimal waste disposal. The machines designed for home dialysis have some similarities in terms of touch-screen patient interfaces, and using pre-prepared cartridges to speed up setting up the machine. On the other hand, they differ in terms of whether they use slower or standard dialysate flows, prepare batches of dialysis fluid, require separate water purification equipment, or whether this is integrated, or use pre-prepared sterile bags of dialysis fluid.Expert commentary: Dialysis machine complexity is one of the hurdles reducing the number of patients opting for home hemodialysis and the introduction of the newer generation of dialysis machines designed for ease of use will hopefully increase the number of patients opting for home hemodialysis.