The Japanese Journal of Clinical Dialysis Vol.19 No.10(2)

Theme Imagination and Evaluation of the Dialysis Dose
Title Basis and limits of kinetic modeling for clinical applications
Publish Date 2003/09
Author Michio Mineshima Department of Blood Purification, Kidney Center, Tokyo Women's Medical University
[ Summary ] In blood purification therapies such as hemodialysis treatments, the quantity of solute removal cannot be measured in real-time. It is thought of as a "black-box" type therapy. In order to achieve adequate treatment for each patient, we should utilize a kinetic modeling strategy. Therefore, the relationship between operating conditions, such as blood flow rates, dialysate flow rates, effective membrane surface area, treatment time, etc., and solute removal efficiency can be estimated through kinetic modeling. There are, however, some problems with kinetic modeling based on common assumptions. We should take care to appropriately utilize models for clinical applications as mentioned in this paper.
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