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The hemodialysis prescription is a complex
formula of treatment options tailored to the needs of each individual
patient. Historically much emphasis has been given to the toxin
removal aspect of dialysis in the form of numerous commercial
advances, complex methods of analyzing clearance, improved dialyzer
membranes, etc. However, the fluid removal portion of dialysis
has remained largely unchanged since the advent of hemodialysis.
Accurate assessment of dry weight, defined as the weight at
which the patient is normotensive and free of edema, is critical
to the long term cardiovascular health of the patient.
Belding H. Scribner states in the forward
of Cardiovascular Aspects of Dialysis Treatment - The importance
of volume control by Evert J. Dorhout Mees, Kluwer Academic
Publishers 2000, "Dry weight, and the normal blood pressure
that goes with it, is a constantly changing value that must
be re-determined with each dialysis. Since it is easier to give
a pill and pretend that one is treating hypertension in the
dialysis patient, hypertension is so poorly controlled world
wide that an epidemic of its numerous complications is now present
in the world's dialysis population." It thus appears that current
methods of dry weight measurement may not be ideal.
Please review the clinical benefit presentation
to see what others have been able to achieve when using Crit-Line
as a fluid management device.
Dialysis accesses can be considered the
Achilles' heel of dialysis. No other aspect of dialysis accounts
for as many missed treatments or as much cost. Crit-Line provides
a comprehensive suite of access management tools to minimize
the impact of access failure. Access blood flow monitoring using
a revolutionary transcutaneous method, traditional access recirculation,
and finally blood volume monitoring (minimizing hypovolemia)
contribute to monitoring and thus maintaining ideal access function.
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