用于自动和日常访问监控的内部分析技术。

IF 1.4 4区 医学 Q3 UROLOGY & NEPHROLOGY
Daniel Schneditz, Werner Ribitsch, David F Keane
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引用次数: 0

摘要

血管通路障碍与透析输送减少、计划外入院、患者症状和通路丧失有关,因此血管通路评估是透析常规护理的基本组成部分。基于通行性能的公认参考方法预测通路血栓形成风险的临床试验结果令人失望。参考方法耗时,影响透析的传递,因此不能在每次透析过程中重复使用。现在有一个新的重点是在每次透析治疗时连续和定期收集数据,直接或间接地与获取功能相关,并且不中断或影响透析剂量。这篇叙述性综述将集中在透析期间可以连续或间歇使用的技术,利用集成到透析机中的方法,并且不影响透析的交付。例子包括体外血流、动态线压、有效清除率、透析剂量和再循环,这些都是大多数现代透析机常规测量的。通过专家系统和机器学习对每次透析过程中收集的综合信息进行分析,有可能提高对血栓形成风险通道的识别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intradialytic techniques for automatic and everyday access monitoring.

Vascular access dysfunction is associated with reduced delivery of dialysis, unplanned admissions, patient symptoms, and loss of access, making assessment of vascular access a fundamental part of routine care in dialysis. Clinical trials to predict the risk of access thrombosis based on accepted reference methods of access performance have been disappointing. Reference methods are time-consuming, affect the delivery of dialysis, and therefore cannot repeatedly be used with every dialysis session. There is now a new focus on data continuously and regularly collected with every dialysis treatment, directly or indirectly associated with access function, and without interrupting or affecting the delivered dose of dialysis. This narrative review will focus on techniques that can be used continuously or intermittently during dialysis, taking advantage of methods integrated into the dialysis machine and which do not affect the delivery of dialysis. Examples include extracorporeal blood flow, dynamic line pressures, effective clearance, dose of delivered dialysis, and recirculation which are all routinely measured on most modern dialysis machines. Integrated information collected throughout every dialysis session and analyzed by expert systems and machine learning has the potential to improve the identification of accesses at risk of thrombosis.

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来源期刊
Seminars in Dialysis
Seminars in Dialysis 医学-泌尿学与肾脏学
CiteScore
3.00
自引率
6.20%
发文量
91
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.
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