Data di Pubblicazione:
2014
Citazione:
Should dialysate calcium be individualized? / P. Messa, R.A. Sherman. - In: SEMINARS IN DIALYSIS. - ISSN 0894-0959. - 27:1(2014), pp. 4-7. [10.1111/sdi.12150]
Abstract:
The growing interest in a personalized choice of dialysate calcium concentration faces some important unsolved questions. First, the desired aims to be achieved should be clarified, as different d-Ca concentrations might differentially impact dialysis calcium balance and serum calcium concentration. A second point to be addressed is how to achieve the desired goals; the kinetics of calcium during dialysis treatment are complex. This is not an easy task and probably only an automatic device able to read serum calcium concentration in real-time and adjust d-Ca to it might supply an effective method for individualizing d-Ca. Finally, it is not even clear whether individualizing d-Ca is worth doing; cost-effectiveness studies might give some further insights into this intricate issue.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Emodialysis-patients; parathyroid-hormone; arterial stiffness; ionized calcium; nalance; pressure; part
Elenco autori:
P. Messa, R.A. Sherman
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