Optimizing haemodialysate composition

F Locatelli, V La Milia, L Violo… - Clinical kidney …, 2015 - academic.oup.com
Survival and quality of life of dialysis patients are strictly dependent on the quality of the
haemodialysis (HD) treatment. In this respect, dialysate composition, including water purity …

Bicarbonate balance and prescription in ESRD

MK Abramowitz - Journal of the American Society of Nephrology, 2017 - journals.lww.com
The optimal approach to managing acid-base balance is less well defined for patients
receiving hemodialysis than for those receiving peritoneal dialysis. Interventional studies in …

[HTML][HTML] Prevalence of acidosis and inflammation and their association with low serum albumin in chronic kidney disease

JA Eustace, B Astor, PM Muntner, TA Ikizler… - Kidney international, 2004 - Elsevier
Prevalence of acidosis and inflammation and their association with low serum albumin in
chronic kidney disease. Background Low serum albumin is a strong risk factor for mortality …

Characterization of hepatic cytochrome p4503A activity in patients with end‐stage renal disease

TC Dowling, AE Briglia, JC Fink… - Clinical …, 2003 - Wiley Online Library
Background The cytochrome P450 (CYP) oxidative enzyme system, located primarily in the
liver and small intestine, is responsible for metabolism and detoxification of numerous …

[HTML][HTML] The choice of dialysate bicarbonate: do different concentrations make a difference?

C Basile, L Rossi, C Lomonte - Kidney international, 2016 - Elsevier
Metabolic acidosis is a common complication of chronic kidney disease; it is typically caused
by the accumulation of sulfate, phosphorus, and organic anions. Metabolic acidosis is …

Dialysate bicarbonate concentration: too much of a good thing?

C Basile, L Rossi, C Lomonte - Seminars in dialysis, 2018 - Wiley Online Library
Acid‐base equilibrium is a complex and vital system whose regulation is impaired in chronic
kidney disease (CKD). Metabolic acidosis is a common complication of CKD. It is typically …

Very low and high predialysis serum bicarbonate levels are risk factors for mortality: what are the appropriate interventions?

F John Gennari - Seminars in dialysis, 2010 - Wiley Online Library
Abstract Adjustment of bath [HCO3−] to “normalize” predialysis serum [HCO3−] in patients
receiving intermittent hemodialysis has been advocated to prevent the adverse effects of …

Pro: Higher serum bicarbonate in dialysis patients is protective

M Misra - Nephrology Dialysis Transplantation, 2016 - academic.oup.com
Chronic metabolic acidosis is common in dialysis patients. Bicarbonate administration via
the dialysate helps maintain the acid–base balance in these patients. Serum bicarbonate …

Intradialytic acid-base changes and organic anion production during high versus low bicarbonate hemodialysis

S Park, W Paredes, M Custodio… - American Journal …, 2020 - journals.physiology.org
The use of high dialysate bicarbonate for hemodialysis in end-stage renal disease is
associated with increased mortality, but potential physiological mediators are poorly …

[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 …