Sweeny  

Using Technology to Improve the Quality of Care (target audience: technicians)
(John A. Sweeny. NANT Annual Meeting, 2006). For those who did not know this, the National Association of Nephrology Technicians / Technologists has an excellent annual meeting. We are happy to archive one of the talks from the 2006 meeting focusing on technology by a person who has a long experience in the field. How has dialysis therapy evolved and how have membranes changed? What are the potential benefits of on-line hemodiafiltration and hemofiltration? What are the trends and challenges relating to use of ultrapure water for dialysis solution production? How can one practically implement a double-dialyzer solution to treat larger patients, both in-series and in-parallel? How does blood volume monitoring work and when is it useful? When is bioimpedance useful to determine patient fluid status? How can one measure clearance on-line using conductivity? What is being overlooked today and what are the keys to the future? Access to this talk is free for all members of NANT. Please contact the NANT office for the access code.
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RRI

Advances in CKD 2006 (RRI Conference, Las Vegas, NV, January, 2006).
(Lecture handouts of technology talks by Barry Straube, MD, Alan Kliger, MD; Nicholas Hoenich, MD; Richard Ward, PhD; Francesco Locatelli, MD; Gerald Schulman, MD.)

Straube: Implications for Survey and Certification of Dialysis Facilities
Kliger: Prevention of Medical Errors in Dialysis: Design and Implementation Strategies Hoenich: The Importance of Water Treatment and Dialysate Composition Ward: Dialyzer & Machine Technologies; New Applications in Practice Locatelli: A Critical Evaluation of Uremic Research: Where Do We Go From Here? Schulman: New Important Technologies Oral Sorbents in Uremia: Early Results (more...)



key Try Dr. Ward's CHLORAMINE QUIZ. This quiz deals with the dangers of chloramines, and about how to remove them from water to be used for dialysis.
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Updated: July 03, 2008 (J03)
J03 CMS releases 2007 ESRD Clinical Performance Measures report (.pdf)
J01 FDA may start focusing more on software reliability in medical devices.
J01 Bills pending in Congress would remove Supreme Court shield for medical device manufacturers.
J25 House Medicare bill and the politics of competitive bidding for medical equipment
J25 Radiofrequence equipment ID tags can halt dialysis machines, change ventilator settings, alter syringe pump performance in the ICU.
J19 Is fluoride in drinking water safe for patients with CKD?
J06 Nephros completes trial of clip-on hemodiafiltration module and high-efficiency b2-M hemodiafilter.
J05 NEJM: Heparin contaminated with oversulfated chondroitin sulfate causes anaphylaxis via kallikrein activation.
J03 Magnetic control mechanism developed to steer swallowed mini-cameras for better GI tract images.
J03 Ultrasmall bacteria that can pass through dialysis filters identified in deep Greenland ice cores.
J02 Taiwanese study links water chlorination to birth defects.
M27 Louisiana Senate passes bill that would shield disaster responders from civil liability lawsuits.
M23 Automated CPR machine helps save lives.
M20 Investigation into dialysis center deaths focuses on temporary use of 1.0 K dialysate concentrate.
M16 Heparin-coated thoracic drainage catheters being recalled because of OSCS contamination.
Industry Advances Emphasis
archive
Using Technology to Improve the Quality of Care NANT 2006
Emerging Dialysis Techniques (Derrick Latos, MD; Robert S. Lockridge, Jr., MD) ADC 2006 (audiofiles)
Biocompatible Dialysis (Bengt Lindholm, MD, PhD; Roberto Pecoits-Filho, MD; Bernard J. Canaud, MD; Richard A. Ward, PhD; James F. Winchester, MD) ADC 2006 (audiofiles)
Blood Pressure on Dialysis (Kalantar-Zadeh, Reams, Misra, Sherman) ADC 2006 (audiofiles)
Implications for Survey and Certification of Dialysis Facilities (Straube) RRI 2006, Part 1 (handouts)
Prevention of Medical Errors in Dialysis: Design and Implementation Strategies (Kliger) RRI 2006, Part 1 (handouts)
The Importance of Water Treatment and Dialysate Composition (Hoenich) RRI 2006, Part 1 (handouts)
Dialyzer & Machine Technologies; New Applications in Practice (Ward) RRI 2006, Part 1 (handouts)
A Critical Evaluation of Uremic Research: Where Do We Go From Here? (Locatelli) RRI 2006, Part 2 (handouts)
New Important Technologies Oral Sorbents in Uremia: Early Results (Schulman) RRI 2006, Part 3 (handouts)
The Buttonhole Technique for Arteriovenous Fistula Cannulation (Ball) NNJ 2006
Water Treatment for Hemodialysis -Updated to Include the Latest AAMI Standards for Dialysate (RD52: 2004) (Amato) NNJ 2006
Clinical Issues in Hemodialysis (HD) (Cheung, Shoji, Lameire, Spergel) ASN Renal Week 2005 (audiofiles)
New Concepts in Renal Replacement Therapy (Vanholder, Pierratos, Burkart, Cheung, Allon) ASN Renal Week 2005 (audiofiles)
ICU Nephrology and Acute Renal Failure: What the Nephrologist Must Know, Parts 1 and 2 (Fuchs, Dellinger, Palevsky, Parrillo, Hollenberg, Kasner, Bekes) ASN Renal Week 2005 (audiofiles)
ICU Nephrology and Acute Renal Failure: What the Nephrologist Must Know, Parts 3 and 4 (Kellum, Molitoris, Okusa, Gines, Palevsky, Marshall, Tolwani, Goldstein, Goldfarb) ASN Renal Week 2005 (audiofiles)
Vascular Access Anatomy, Physical Exam (Miller, Lewis) ASN Renal Week 2005 (audiofiles)
How Dialysis Works (Clark, Depner, Ward, Szczech) ASN Renal Week 2005 (audiofiles)
Nanotechnology: Its Future Role in Ultrafiltration and the Removal of Solutes (Eckardt) RRI 2005 (audiofiles)
Technology and Therapeutics Session (Edelstein, Weitzel, Vilkomerson, Diaz-Buxo, Charra) RRI 2005 (audiofiles)
Dialysis Catheter Workshop (Contreras, Bunchman, Khanna, Crabtree, Ko, Tal) ADC 2005 (audiofiles)
Industry Speaks I: Innovations in Home Therapies Technology (Green, Schlaeper, Neal, Diga, Diaz-Buxo) ADC 2005 (audiofiles)
Choice of Dialysis Therapy (Finkelstein, Mehrotra) ADC 2005 (audiofiles)
What Determines Long-Term Survival on Hemodialysis (Misra, Charra, Depner, Ahmad) ADC 2005 (audiofiles)

Contaminated heparin associated with adverse clinical events and activation of the contact system N Engl J Med (Jun 2008)
Glucose in the dialysate: Historical perspective and possible implications? Hemodial Int (Apr 2008)
Achieving blood pressure targets during dialysis improves control but increases intradialytic hypotension Kidney Int (Mar 2008)
Revisiting the dialysate sodium prescription as a tool for better blood pressure and interdialytic weight gain management in hemodialysis patients http://www.hdcn.net/pdf/asn/santos.pdf
Recent advances in the prevention and management of intradialytic hypotension J Am Soc Nephrol (Jan 2008)
Gadolinium use in patients with kidney disease: A cause for concern Semin Dial 05-07
Worldwide water standards for dialysis Hemodial Int - 0407
Essentials of anticoagulation in hemodial Hemodial Int 04-07
Fluid balance, dry weight, and blood pressure in dialysis Hemodial Int 01-07
Should dialysis patients ever receive warfarin and for what reasons? (Bennett) CJASN 11-06
Review of dialysate calcium concentration in hemodialysis (Toussaint, Cooney, Kerr) Hemodial Int 10-06
ORGANIZATIONS
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BONENT
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HDCN Topic Pages (KEY)
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HD Complications
CRRT (channel)
New Dialysis Methods
Heparin
Infections
Dialysis Tips
OTHER LINKS
RenalWeb

Dr. Richard Ward, Ph.D.,
Professor of Medicine, University of Louisville School of Medicine, Louisville, KY.