The Japanese Journal of Clinical Dialysis Vol.17 No.4(10)

Theme Adequate Dialysis : Current Topics in Kinetic Modeling
Title Kinetic modeling in apheresis therapies
Publish Date 2001/04
Author Kei Eguchi Division of Blood Purification, Kidney Center, Tokyo Women's Medical University
Author Ryo Yokoi Division of Blood Purification, Kidney Center, Tokyo Women's Medical University
Author Iwakazu Kaneko Division of Blood Purification, Kidney Center, Tokyo Women's Medical University
Author Masaaki Kimikawa Department of Surgery, Kidney Center, Tokyo Women's Medical University
Author Michio Mineshima Division of Blood Purification, Kidney Center, Tokyo Women's Medical University
Author Takashi Akiba Division of Blood Purification, Kidney Center, Tokyo Women's Medical University
Author Hiroshi Nihei Department of Medicine, Kidney Center, Tokyo Women's Medical University
[ Summary ] In several types of aphereis therapy, the patient's blood volume often decreases over time during treatment, due to a drop in colloidal osmolarity. This is induced by blood dilution from the aqueous solution primer in the device before the treatment and albumin loss from treatment, especially in the partially discarded mode of the double filtration plasmapheresis. Kinetic modeling for albumin transport during DFPP treatment was introduced to explain changes in blood volume during treatment, in order to determine the optimal concentration of substitution fluid for treatment.
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