Over a decade ago, a group from the Section of Dialysis and Extracorporeal Therapy at The Cleveland Clinic, OH, developed a bicarbonate-based dialysate for use during continuous renal replacement.
The Prismaflex (Gambro, Lakewood, CO) integrated CRRT system was introduced to our hospital and used to provide renal replacement therapy for ECLS patients in April 2009. Prior to this time ...
In older ESRD patients on renal replacement therapy (RRT) with frailty phenotype, the risk of mortality at 1 year is three-times higher compared with ESRD patients without frailty phenotype.
But, as Amber’s story suggests, that shift faces many obstacles. In-center dialysis has been the default therapy for kidney failure for more than 50 years. Even now, it takes kidney clinicians far ...