The patient's vascular route is used to clean the dirty blood from the patient and return it to the patient through the same vein. Dialysis is usually performed 2 or 3 times a week. The number of times you will dial during the week, the duration of the dialysis and other parameters will be set to 'patient specific' by your doctor.
Long-term hemodialysis was performed in the first years of dialysis treatment. While the shortening of the dialysis duration (4-6 hours of dialysis treatments) towards the end of the 1980s became widespread, the 4-hour dialysis applications became widespread after the 1990s. In the early stages of dialysis treatment, the overall dialysis regimen is 8 hours three times a week. (mostly at night) This regime has changed with the development of high-efficiency dialers. Some dialysis centers, however, maintain long-range 8-hour dialysis until daylight. The best-known center is Tassin, the hemodialysis unit in France. However, other centers used the same regime. In the majority of the 30-year period, cuprophan dialysers and acetate containing dialysate were used in the Tassin unit. Long-term dialysis has been performed both at home and in the center day or night. The normal blood flow was 250 mL / min and the dialysate flow was 500 mL / min. The mean Kt / V was 1.85 and the PCR was 1.4 gr / kg (6). Some publications have described the benefits of this application.
LONG-RANGE HEMODIALIZATION BASIC CHARACTERISTICS:
A-) Excellent blood pressure control
B-) Patient life extension
A-) BLOOD PRESSURE CONTROL
Antihypertensives (blood pressure medications) were discontinued after the patients began long-term hemodialysis. The blood pressure was then checked by reducing the dry weight of the patient. This is well tolerated due to the increase in dialysis length. Low salt intake has completed this application and is necessary for blood pressure control. More than 90% of patients had blood pressure medications discontinued. Again, due to good fluid and blood pressure control, it is noticed that the events that affect the patient's life such as heart growth and heart failure decrease in these patients. Especially in patients with excessive weight gain between two dialysis patients, sudden blood pressure decreases due to the obligation to gain weight in as short as 4 hours is less in long term dialysis.
B-) LIFE TIME
The patient life span as described by the Tassin group was longer than the life expectancy of the hemodialysis patients in the large databases (United States Renal Data System (USRDS), European Dialysis and Transplantation Association (EDTA)), with a reported 10-year survival rate of 75%. reported high rates of survival in patients who underwent long-term intermittent hemodialysis by a group of patients with a history of hemodialysis. The cause of this increase in the patient's lifetime was investigated ... The Kt / V dialysis was not associated with the patient's life, and the Babb Dialysis Index the duration of the patient's life span was significantly better than the results of other centers.The reason for the long life span in these patients was that the anemia was less Long-term hemodialysis is a beneficial effect on erythropoietin because the blood counts of patients treated prior to the discovery of EPO treatment were better than the 4-hour dialysis patients and the needs for blood transfusions were minimal. Long-term intermittent hemodialysis is thought to be associated with increased removal of medium molecules. We know that serum phosphorus levels increase in patients with renal insufficiency. Phosphate control over long-term intermittent hemodialysis is better than classical 4-hour hemodialysis and drug-free control is possible in patients who often pay attention to their diet. In some patients, phosphate binders may still be necessary, even in lower amounts.