Haemodialysis

For more than a generation haemodialysis has been the principal method of treating patients with both acute and chronic renal failure. Initially, developments and improvements in the system were highly technical and relevant to only a relatively small num

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Other titles in the New Clinical Applications Series: Dermatology (Series Editor Dr J. L. Verbov) Dermatological Surgery Superficial Fungal Infections Talking Points in Dermatology - I Treatment in Dermatology Current Concepts in Contact Dermatitis Talking Points in Dermatology - II Tumours, Lymphomas and Selected Paraproteinaemias Relationships in Dermatology Cardiology (Series Editor Dr D. Longmore) Cardiology Screening Rheumatology (Series Editors Dr J. J. Calabro and Dr W. Carson Dick) Ankylosing Spondylitis Infections and Arthritis Nephrology (Series Editor Dr G. R. D. Catto) Continuous Ambulatory Peritoneal Dialysis Management of Renal Hypertension Chronic Renal Failure Calculus Disease Pregnancy and Renal Disorders Multisystem Diseases Glomerulonephritis I Glomerulonephritis II

NEW CLINICAL APPLICATIONS

NEPHROLOGY

HAEMODIALYSIS Editor

G. R. D. CATTO

MD, DSc, FRCP (Land., Edin. and Glasg.) Professor of Medicine University of Aberdeen

UK

KLUWER ACADEMIC PUBLISHERS

DORDRECHT/BOSTON/LONDON

Distributors for the United States and Canada: Kluwer Academic Publishers, PO Box 358, Accord Station, Hingham, MA 02018--D358, USA for all other countries: Kluwer Academic Publishers Group, Distribution Center, PO Box 322, 3300 AH Dordrecht, The Netherlands

British Library Cataloguing in Publication Data Haemodialysis. I. Man. Kidneys. Haemodialysis I. Catto, Graeme R.D. (Graeme Robertson Dawson). 1945- II. Series 617'.461059 Library of Congress Cataloguing in Publication Data Haemodialysisjeditor, G.R.D. Catto. cm.-(New clinical applications. Nephrology) p. Includes bibliographies and index. ISBN-13: 978-94-010-7058-4 e-ISBN-13: 978-94-009-1257-1 DOl: 10.1007/978-94-009-1257-1 I. Hemodialysis. I. Catto, Graeme R.D. [DNLM: I. Hemodialysis. WJ 378 H1335] RC901.7.H45H34 1988 617' .461 059---dc 19 DNLMjDLC for Library of Congress 88-37909 CIP Copyright

© 1989 by Kluwer Academic Publishers Sol'tcover reprint of the hardcover 1st edition 1989 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from the publishers, Kluwer Academic Publishers BV, PO Box 17, 3300 AA Dordrecht, The Netherlands. Published in the United Kingdom by Kluwer Academic Publishers, PO Box 55, Lancaster, UK. Kluwer Academic Publishers BV incorporates the publishing programmes of D. Reidel, Martinus Nijhoff, Dr W. Junk and MTP Press.

CONTENTS

List of Authors Series Editor's Foreword About the Editor

VI VB Vlll

l. Acetate or bicarbonate for haemodialysis? N. T. Richards and A. J. Wing 2. Haemofiltration A. M. Martin and M. I. McHugh

33

3. Clinical haemoperfusion J. F. Winchester

61

4. Anticoagulation for haemodialysis

83

I. s. Henderson

Index

106

LIST OF AUTHORS

I.S. Henderson Renal Unit Dundee Royal Infirmary Dundee DDl 9ND

N. T. Richards Renal Laboratory St Thomas' Hospital Lambeth Palace Road London SEI 7EH

UK

UK

A.M. Martin Department of Renal Medicine