In 1989, the nephrology community was confronted with the combination of high tech and high flux, realising for the first time that short, but mathematically adequate therapy resulted in unacceptable outcomes. This book discusses issues that doctors must pay close attention to; those that cause the greatest harm to patients. New discoveries prove that chronic kidney disease (CKD) causes a muscle wasting syndrome, and that epo hyporesponsiveness harbingers a variety of underlying etiologies. From renowned surgeons, doctors are gaining practical insights into methods to improve arteriovenous fistula survival and cardiovascular surgery outcomes. The book applies the new information that can now be accessed to meet the personal needs of these patients.
Preface; Introduction; Milestones in Dialysis; The Course of Therapy -- Changing the Paradigm; Accept this Kidney or Continue Dialysis? A Strategic Approach to Donor Options in 2012; Dialysis at Home - The Seattle Experience; How do Clinical Outcomes of Automated Peritoneal Dialysis Compare with those of Continuous Ambulatory Peritoneal Dialysis?; Intensified Hemodialysis Programs for Children and Adolescents; The Wearable Artificial Kidney -- A Paradigm Change in the Treatment of ESRD.
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