ONLINE-HDF临床益处课件.ppt

* The 4008 system delivers real benefits through the combined effects of its core components. The DIASAFE?plus system ensures the safe production of ultrapure dialysis fluid via the superior endotoxin-retention capabilities of Fresenius Polysulfone? fibres. Endotoxin retention reduces exposure of inflammatory bacterial agents and endotoxins to the blood, thus managing CVD risk. DIASAFE?plus is complemented by the bibag? system, which generates ready-to-use hygienic dialysate. FX-class Helixone membranes provide enhanced endotoxin retention and further reduce the inflammatory process. The Online Clearance Monitor? (OCM?) is the means by which the dialysis dose is monitored. It allows continuous and real-time monitoring of each HD session, ensuring that patients receive adequate dialysis doses. The Blood Pressure Monitor (BPM) is a fully automated, non-invasive system that monitors patient’s blood pressure during dialysis. It provides easy observation of blood pressure trends during the dialysis procedure. The Blood Volume Monitor (BVM) provides automatic monitoring and control of the blood volume in response to ultrafiltration. Individualised patient blood volume thresholds are calculated and monitored to assist in determining the patient’s dry weight. Effective volume monitoring reduces intradialytic hypotension, and improves patient comfort and safety. The Blood Temperature Monitor (BTM) provides thermal balance monitoring and management, regulating intradialytic body temperature, reducing the risk of hypotensive episodes, and stabilizing the CV response to haemodialysis and ultrafiltration. The bibag? generates ready-to-use hygienic dialysate to limit inflammation. Online haemodiafiltration (ONLINE HDF) increases the removal of a broader spectrum of uraemic toxins by using larger fluid replacement volumes, which increases convective transport: increased convective transport improves clearance of middle- and large-sized molecules improved molecular removal effi