Comprehensive Course in Hemodialysis

Saturday, March 6, 2010 - 8:00am to 6:00pm

Sponsored by:

Presented in Cooperation with the
International Society for Hemodialysis

This unique, full day session is specifically designed to cover practical aspects of extracorporeal therapies for those who care for patients in dialysis facilities. The fundamentals are intended for nephrologists in training, practicing nephrologists, and advanced practice nurses. Internationally renowned speakers will provide theoretical background for practical aspects of extracorporeal therapies.

Hard copies of slides for all presentations will be provided to all attendees. A classroom setting will facilitate taking notes on hard copies.

Fellows' Case Presentations

Program:

Session I
Basics of Hemodialysis: Physicochemical Principles and Equipment Design for HD
Madhukar Misra, MD, Presiding
8:00 - 11:30am

8:00
How Hemodialysis Works - Madhukar Misra, MD
- Diffusion, osmosis, ultrafiltration, convection, flux, permeability and efficiency
- Factors influencing clearances
- Types of membranes (cellulosic, substituted cellulosic, synthetic) and their properties
9:00
Dialyzer and Non Dialyzer Components of the HD System - Rodney Kenley, MS
- Brief history of dialyzers and machines
- Hollow fiber dialyzer;blood flow pathway during HD
- Dialysis solution delivery systems
10:00
Break
10:30
Nephroquiz - John Daugirdas MD
An interactive Q & A session highlighting practical
aspects of Hemodialysis
11:30
Luncheon

Session II
Hemodialysis Adequacy, Blood Access & Complications
Zbylut Twardowski, MD, Presiding
12:30 - 4:00pm

12:30
Adequacy of Dialysis Made Simple
John Daugirdas, MD
- Brief historical background, urea kinetic modeling
- Importance of residual renal function
- Importance of frequency and time
- Current recommendations
1:30
Q&A
1:45
Catheter Care and Use
Lesley Dinwiddie, MSN, RN, FNP
- Aseptic connection and disconnection technique of catheter to line
- Straight and reversed direction of lines, blood recirculation, exit site care in center and in home
- Complications during dialysis (disconnection, air embolism, bleeding )
- Procedures in case of accident (disconnection, cut)
2:15
Cannulation of Grafts and Fistulas
Lynda Ball, MSN, RN
- Physical examination before first cannulation
- Assessment of fistula or graft depth and size
- Antiseptic precautions
- Selection of needles, anesthesia (local, topical), directions of needles, securing needles after insertion
- Fistula care post dialysis
- Fistula complications: infection, air embolism, line separation, bleeding, hematoma/infiltration, recirculation.
2:45
Q&A
3:00
Dialyzer and Machine Related Complications:
Pathogenesis, Prevention and Treatment
John Stivelman, MD
- Air embolism, complications of wrong dialysis solution composition
- Reactions to dialyzers, sterilants and other chemicals (e.g, perfluorohydrocarbon)
3:45
Q&A
4:00
Break
4:15 - 6:00pm

Session III
Anticoagulation and Hemodialysate Modeling in Hemodialysis
John Daugirdas, MD, Presiding
4:15 - 6:00pm

4:15
Anticoagulation in HD: Basis and Practice
Karl-Georg Fisher MD
- Brief review of factors governing coagulation activation during hemodialysis including thrombin formation, fibrin formation, natural anticoagulant proteins
- Clinical basis of anticoagulant, heparins
  (unfractionated, low molecular weight), systemic and local anticoagulation, direct thrombin inhibitors (hirudins, argatroban)
- Citrate (in-line and in dialysate), fibrinolytics, warfarin, and others, and their mechanism of action
4:55
Dialysate and Its Modeling in HD: Understanding the Basics - Suhail Ahmad, MD
- Dry chemicals, concentrates
- Why we need both acid and base concentrates
- New additions to hemodialysis solutions (citrate, L-aspartic acid, L-glutamic acid
- Practical points in dialysate modeling
5:45
Q&A
6:00
Adjourn

Note: These Saturday programs have a separate registration fee from the Dialysis conference.

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