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EDTNA/ERCA journal (English ed.)最新文献

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Merits and limitations of continuous blood volume monitoring during haemodialysis. Summary of the EDTNA/ERCA Journal Club discussion: Winter 2005. 血液透析期间连续血容量监测的优点与局限性。EDTNA/ERCA期刊俱乐部讨论摘要:2005年冬季。
EDTNA/ERCA journal (English ed.)
Pub Date : 2006-04-01 DOI: 10.1111/j.1755-6686.2006.tb00462.x
Elizabeth J Lindley

The discussion explored and expanded on the issues raised by Dasselaar et al in their review of the measurement of relative blood volume (RBV) changes during dialysis (NDT 2005). Dialysis machines incorporating blood volume monitoring and control are widely available in Europe. The use of continuous blood volume monitoring (CBVM) to help establish dry weight; problems with CBVM due to connection and use of single needle dialysis; the physiological processes that cause RBV changes during eating, exercise and posture changes; and the application of blood volume based biofeedback control were discussed by participants from ten countries. The 'take-home' messages from the discussion were that CBVM can assist in setting target weight, but must be used together with traditional measures and experience. Biofeedback control may help to achieve symptom-free dialysis, but staff should be prepared to monitor patients systematically for several weeks to obtain individualised settings. Users of CBVM should be aware of factors that can alter the central haematocrit leading to apparent changes in RBV. Practical guidelines should be developed to help staff interpret CBVM data effectively.

讨论探讨并扩展了Dasselaar等人在他们对透析期间相对血容量(RBV)变化测量的综述中提出的问题(NDT 2005)。血量监测和控制的透析机在欧洲广泛使用。使用连续血容量监测(CBVM)帮助确定干体重;由于连接和使用单针透析而引起的CBVM问题;在饮食、运动和姿势变化过程中引起RBV变化的生理过程;来自10个国家的与会者讨论了基于血容量的生物反馈控制的应用。从讨论中得出的结论是，CBVM可以帮助确定目标体重，但必须与传统的测量方法和经验结合使用。生物反馈控制可能有助于实现无症状透析，但工作人员应准备对患者进行数周的系统监测，以获得个性化设置。CBVM的使用者应该意识到可以改变中央红细胞压积导致RBV明显变化的因素。应制定实用指南，帮助工作人员有效地解释CBVM数据。
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引用次数: 6
Why clown-doctors are needed in paediatric wards. 为什么儿科病房需要小丑医生?
EDTNA/ERCA journal (English ed.)
Pub Date : 2006-04-01
Ki Lindqvist
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引用次数: 0
Telephone interview with Fresenius Medical Care project leader Mr. Jonas: launch of 5008 Therapy System. 电话采访费森尤斯医疗项目负责人乔纳斯先生:5008治疗系统的推出。
EDTNA/ERCA journal (English ed.)
Pub Date : 2006-01-01
Jonas
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引用次数: 0
The use of telemedicine to assess and advise patients regarding dietary treatment of hyperphosphataemia. 利用远程医疗对高磷血症患者的饮食治疗进行评估和建议。
EDTNA/ERCA journal (English ed.)
Pub Date : 2005-10-01 DOI: 10.1111/j.1755-6686.2005.tb00433.x
D Kariyawasam

Satellite units have the benefit of being local to patients and easily accessible. The main hospital where the dietitians are based is some distance away from the satellite unit. This has traditionally made it more difficult for the dietitians to assess satellite unit patients other than at set times when all the patients are assessed and advised in one visit. The aim of the telemedicine unit was to make dietary assessment of satellite unit patients easier by reducing travel time and to be more accessible to patients at times when visits by the dietitian were not scheduled. Telemedicine units were linked from the main hospital to the satellite unit. Fourteen patients were assessed and advised via this method and of these patients 8 patients were seen for help with their hyperphosphataemia. Phosphate levels on referral were 2.46 +/- 0.47mmols/l and by the following month after review by the dietitian had decreased to 2.06 +/- 0.43mmols/l (p=0.01) and 1.96 +/- 0.16mmols/l by month 6 (p=0.02). This small study shows that the telemedicine unit is an effective way to assess patients and communicate information. Travel time has been saved and patients have had the benefit of receiving dietary information soon after their raised phosphate result rather than having to wait for the next scheduled visit by the dietitian.

卫星单位的好处是对病人来说是本地的，而且容易接近。营养师所在的主要医院离卫星医院有一段距离。传统上，这使得营养师更难评估卫星单元患者，而不是在固定的时间内对所有患者进行评估和建议。远程医疗单位的目的是通过减少旅行时间，使卫星单位病人的饮食评估更加容易，并且在没有安排营养师访问的情况下，使病人更容易接近。远程医疗单位从主医院连接到卫星单位。通过这种方法对14例患者进行了评估和建议，其中8例患者因高磷血症而就诊。转诊时的磷酸盐水平为2.46 +/- 0.47mmol /l，在营养师复查后的下一个月降至2.06 +/- 0.43mmol /l (p=0.01)，第6个月降至1.96 +/- 0.16mmol /l (p=0.02)。这项小型研究表明，远程医疗单元是评估患者和沟通信息的有效方式。节省了旅行时间，患者在磷酸盐升高后很快就收到了饮食信息，而不必等待营养师的下一次预定访问。
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引用次数: 6
The conductivity of dialysis fluid. 透析液的导电性。
EDTNA/ERCA journal (English ed.)
Pub Date : 2005-04-01 DOI: 10.1111/j.1755-6686.2005.tb00407.x
André Stragier
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引用次数: 0
Quality assurance for dialysis-quality water and dialysis fluid. Guidelines for the control of chlorine and chloramine in water for haemodialysis using activated carbon filtration. 透析的质量保证——优质的水和透析液。用活性炭过滤控制血液透析水中氯和氯胺的指南。
EDTNA/ERCA journal (English ed.)
Pub Date : 2004-04-01
Ian Morgan
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引用次数: 0
Abstracts of the 33rd Conference of EDTNA/ERCA. Geneva, Switzerland, 4-7 September 2004. EDTNA/ERCA第33届会议摘要瑞士日内瓦，2004年9月4日至7日。
EDTNA/ERCA journal (English ed.)
Pub Date : 2004-01-01
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引用次数: 0
Iron management in renal failure patients--how do we achieve the best results? 肾衰竭患者的铁管理——我们如何达到最佳效果?
EDTNA/ERCA journal (English ed.)
Pub Date : 2003-10-01
Jean-Yves De Vos
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引用次数: 0
Recommendations for a European framework for specialist nursing education. 欧洲专科护理教育框架建议。
EDTNA/ERCA journal (English ed.)
Pub Date : 2003-10-01

Whereas in many countries within the EU specialist nursing practice exists requiring post-basic * nursing education that varies from one country to another, the European Network for Nurses Organisations has developed a framework for specialist nursing education, in order to harmonise post basic nursing education and to facilitate the free movement of specialist nurses.

然而，在欧盟的许多国家，专科护理实践要求不同国家的基础后护理教育，欧洲护士组织网络为专科护理教育制定了一个框架，以协调基础后护理教育，促进专科护士的自由流动。
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引用次数: 0
Needling fistulas bevel down. 针状瘘管向下倾斜。
EDTNA/ERCA journal (English ed.)
Pub Date : 2003-10-01
Roberta Blakely
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引用次数: 0
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