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.
Note: Internet Explorer is required for the feedback section to work.

Updated: November 26, 2008 (N26)
N26 Montreal starts up an on-line hemodiafiltration center. Will the U.S. be close behind?
N20 Nephros pursues new product revenue aiming to sell its water filter to dialysis units, hospitals and the U.S. military.
N19 Pie in the sky or pie on the table?: Diamond dialysis filter kept unclogged using electrostatic field.
N11 Pie in the sky or pie on the table? Nanoporous ceramic membranes may reject protein buildup.
O16 Baxter earnings rise 19% in third quarter on sales of plasma-derived products.
O16 Home dialysis equipment maker gets license to use some Hewlett-Packard inkjet printer patents for fluid path management.
O06 Apparent failure to rinse sterilant from dialyzer prior to use may have led to patient death in Michigan.
S24 Joint Commission issues safety alert regarding heparin dosing errors in hospitals.
S24 Int Soc Blood Purification (ISBP) abstracts online (from September, 2008 meeting)
S22 NY dialysis center shut down for unsanitary conditions; story hits the New York Times.
S16 NHANES data analysis links elevated urine bisphenol levels to diabetes, cardiovascular disease.
S15 Carbon nanotubes for water purification.
S05 Bisphenol (present in polycarbonate plastics) linked to metabolic syndrome.
A29 Heated seats (applies to dialysis chairs) raise scrotal temperatures and affect sperm.
A29 Morton salt notifies customers of potassium chloride shortage due to labor strike at Canadian potash mines.
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)
The pivotal role of sodium balance in control of blood pressure in dialysis patients (Tomson et al) Hemodial Int (Nov 2007)
Use of antimicrobial catheter lock solutions to prevent catheter-related bacteremia (Bleyer) Clin J Am Soc Nephrol (Sept 2007)
Dry Weight: Sine qua non of adequate dialysis (Wystrychowski et al) Adv Chronic Kidney Dis (Jul 2007)
Gadolinium use in patients with kidney disease: A cause for concern Semin Dial 05-07
Essentials of anticoagulation in hemodial Hemodial Int 04-07
Worldwide water standards for dialysis Hemodial Int - 0407
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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HDCN Topic Pages (KEY)
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OTHER LINKS
RenalWeb

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