Toggle Main Menu Toggle Search

Open Access padlockePrints

Hemodialysis Adequacy and the Hospitalized End-Stage Renal Disease Patient-Raising Awareness

Lookup NU author(s): Dr Suren Kanagasundaram


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Assessment of hemodialysis adequacy may require different approaches for the stable, outpatient with end-stage renal disease (ESRD) and for the sick, inpatient with acute kidney injury (AKI). Variability of urea distribution volume, urea generation, and treatment schedule, for instance, complicates dialysis dosing in the latter group although progress has been made in our understanding of their needs. There is a third population, however, for whom hemodialysis dosing requirements remain unclearthe hospitalized ESRD patient. This commentary discusses the key urea kinetic differences between stable ESRD and AKI to give the context to where, on the intervening spectrum, the hospitalized ESRD patient might lie. The limited literature examining hemodialysis dosing in this population is discussed along with those outstanding questions that might form the basis of a future research agenda.

Publication metadata

Author(s): Kanagasundaram NS

Publication type: Editorial

Publication status: Published

Journal: Seminars in Dialysis

Year: 2012

Volume: 25

Issue: 5

Pages: 516-519

Print publication date: 20/09/2012

ISSN (print): 0894-0959

ISSN (electronic): 1525-139X

Publisher: Wiley-Blackwell


DOI: 10.1111/sdi.12008