A new approach to bicarbonate addition during hemodialysis: Testing model predictions in a patient cohort

S Marano, M Marano, FJ Gennari - IEEE Access, 2022 - ieeexplore.ieee.org
In this study, we present a new protocol for kidney replacement therapy (hemodialysis),
based on an explicitly solvable mathematical model. With current protocols, the high and …

[HTML][HTML] Effect of time-dependent dialysate bicarbonate concentrations on acid–base and uremic solute kinetics during hemodialysis treatments

M Wieliczko, M Twardowska-Kawalec, M Debowska… - Scientific Reports, 2024 - nature.com
Recent studies have suggested benefits for time-dependent dialysate bicarbonate
concentrations (Dbic) during hemodialysis (HD). In this clinical trial, we compared for the first …

[HTML][HTML] Replenishing alkali during hemodialysis: Physiology-based approaches

FJ Gennari, M Marano, S Marano - Kidney Medicine, 2022 - Elsevier
The acid-base goal of intermittent hemodialysis is to replenish buffers consumed by
endogenous acid production and expansion acidosis in the period between treatments. The …

[HTML][HTML] Mathematical modelling of bicarbonate supplementation and acid-base chemistry in kidney failure patients on hemodialysis

M Pietribiasi, J Waniewski, JK Leypoldt - Plos one, 2023 - journals.plos.org
Acid-base regulation by the kidneys is largely missing in end-stage renal disease patients
undergoing hemodialysis (HD). Bicarbonate is added to the dialysis fluid during HD to …

Modeling acid-base transport in hemodialyzers

M Pietribiasi, JK Leypoldt - Biocybernetics and Biomedical Engineering, 2021 - Elsevier
One important objective of the hemodialysis treatment is the neutralization of interdialytic
acid generation by transport of bicarbonate and other buffer bases from dialysis fluid to the …

Acid-base events during hemodialysis

FJ Gennari, JA Sargent - American Journal of Physiology …, 2021 - journals.physiology.org
TO THE EDITOR: Several years ago, we addressed the question of why blood bicarbonate
concentration ([HCO3 À]) fails to increase notably during the last half of a standard …

[HTML][HTML] Acid-Free Biocompatible Hemodiafiltration

M Marano - Blood Purification, 2024 - karger.com
In bicarbonate dialysis (BD), 2–4 mmol/L of acetic acid are added to dialysate to maintain
salts in their soluble form. After giving up the hydrogen ion, the acetate anion diffuses into …

Reply to Gennari and Sargent: Acid-base events during hemodialysis

MK Abramowitz - American Journal of Physiology-Renal …, 2021 - journals.physiology.org
1) We performed detailed measurements of blood from both the arterial and venous limbs of
the hemodialysis circuit and of dialysate. Results of these analyses, for both bicarbonate …

[PDF][PDF] Correlation between Acid-base Environment and Coronary Artery Calcification in Maintenance Hemodialysis Patients

X Zhou, H Gan - Frontiers in Medical Science Research, 2024 - francis-press.com
Vascular calcification increases the mortality of maintenance hemodialysis patients, and the
acid-base environment in maintenance hemodialysis (MHD) patients may affect the …

[PDF][PDF] Supplementary Information for

M Pietribiasi, J Waniewski, JK Leypoldt - scholar.archive.org
The following system of equations is described in detail in a previously published article1,
and here is given only a condensed formulation. Supplementary Equations S1–S20 can be …