血液透析中的反馈控制。

IF 1.4 4区医学 Q3 UROLOGY & NEPHROLOGY

Seminars in Dialysis Pub Date : 2023-11-23 DOI:10.1111/sdi.13185

Ashveer Randhay, Mohamed Tarek Eldehni, Nicholas M Selby

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引用次数: 0

摘要

许多透析过程中的反馈控制系统已经开发出来，它们具有前瞻性测量生理参数，然后根据预先指定的透析处方实时自动改变透析参数的共同特征。这些系统包括旨在减少分析性低血压的反馈系统，该系统基于与超滤和透析液导电性调整相关的相对血容量监测，以及与透析液温度变化相关的血液温度监测。反馈系统也存在，通过评估和调整透析液电导率来操纵透析期间的钠平衡。在这篇综述文章中，我们讨论了透析过程中自动反馈系统的基本原理，描述了不同的反馈系统是如何工作的，并对其临床有效性的现有证据进行了回顾。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Feedback control in hemodialysis.

A number of systems of feedback control during dialysis have been developed, which have the shared characteristic of prospectively measuring physiological parameters and then automatically altering dialysis parameters in real time according to a pre-specified dialysis prescription. These include feedback systems aimed at reducing intradialytic hypotension based on relative blood volume monitoring linked to adjustments in ultrafiltration and dialysate conductivity, and blood temperature monitoring linked to alterations in dialysate temperature. Feedback systems also exist that manipulate sodium balance during dialysis by assessing and adjusting dialysate conductivity. In this review article, we discuss the rationale for automated feedback systems during dialysis, describe how the different feedback systems work, and provide a review of the current evidence on their clinical effectiveness.

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来源期刊

Seminars in Dialysis 医学-泌尿学与肾脏学

CiteScore

3.00

自引率

6.20%

发文量

审稿时长

4-8 weeks

期刊介绍： Seminars in Dialysis is a bimonthly publication focusing exclusively on cutting-edge clinical aspects of dialysis therapy. Besides publishing papers by the most respected names in the field of dialysis, the Journal has unique useful features, all designed to keep you current: -Fellows Forum -Dialysis rounds -Editorials -Opinions -Briefly noted -Summary and Comment -Guest Edited Issues -Special Articles Virtually everything you read in Seminars in Dialysis is written or solicited by the editors after choosing the most effective of nine different editorial styles and formats. They know that facts, speculations, ''how-to-do-it'' information, opinions, and news reports all play important roles in your education and the patient care you provide. Alternate issues of the journal are guest edited and focus on a single clinical topic in dialysis.