Effect of first and subsequent use of hemodialyzers on patient well-being: Analysis of the incidence of symptoms and events and description of a syndrome associated with new dialyzer use

American Journal of Nephrology

Volumn 6, Issue 2, 1986, Pages 101-106

  Robson, Michael D ^a,b   Charoenpanich, Rachavalya ^a,b   Shashi Kant, K ^a,b   Peterson, Darwin W ^a,b   Flynn, John ^a,b   Cathey, Margaret ^a,b   Poliak, Victor E ^a,b  

^a UNIVERSITY OF CINCINNATI MEDICAL CENTER   (United States)

^b Dialysis Clinic Inc   (United States)

Author keywords

Dialyzers. multiple use of; First use syndrome; Hemodialysis; Symptoms

Indexed keywords

ARTIFICIAL KIDNEY; HEMODIALYSIS; HUMAN; KIDNEY; THERAPY;

BACK PAIN; HUMANS; KIDNEY, ARTIFICIAL; LEUKOPENIA; PAIN; RENAL DIALYSIS; SYNDROME; THORAX;

EID: 0022592566     PISSN: 02508095     EISSN: 14219670     Source Type: Journal    
DOI: 10.1159/000167063     Document Type: Article

References (16)

1. Shaldon, S.H.; Silva, H.; Rosen, M.: Technique of refrigerated coil preservation haemodialysis with femoral vein catheterization. Br. med. J. ii: 411-413 (1964).
2. Kant, K.S.; Poliak, V.E.; Cathey, M.; Goetz, D.; Berlin, R.: Multiple use of dialyzers: safety and efficacy. Kidney int. 19: 728-738 (1981).
3. Poliak, V.E.: Computerization of the medical record: use in care of patients with end-stage renal disease. Kidney int. 24: 446-454 (1983).
4. Poliak, V.E.; Kant, K.S.; Cathey, M.; Parnell, S.; Zasuwa, G.; Levin, N.W.: Safety of long-term multiple use of dialyzers (Abstract). Kidney int. 27: 169A (1985).
5. End-Stage Renal Disease Medical Information System (Health Care Financing Administration, 1984).
6. Ohio Valley Renal Disease Network Patient Registry 1984.
7. Bok, D.V.; Pascual, L.; Herberger, C.; Sawyer, R.; Levin, N.W.: Effect of multiple use of dialyzers on intradialytic symptoms. Proc. clin. Dial. Transplant. Forum 10: 92-99 (1980).
8. Ogden, D.A.: New dialyzer syndrome (Letter). New Engl. J. Med. 302: 1262-1263 (1980).
9. Ing, T.S.; Daugirdas, J.T.; Poplis, S.; Gandhi, V.C.: First-use syndrome with cuprammonium cellulose dialyzers. Int. J. artif. Organs 16: 235-239 (1983).
10. Henderson, L.W.; Cheung, A.K.; Chenoweth, D.E.: Choosing a membrane. Am. J. Kidney Dis. 3: 5-20 (1983).
11. Key, J.; Nahmias, M.; Acchiardo, S.: Hypersensitivity reaction on first time exposure to cuprophan hollow fibre dialyzer. Am. J. Kidney Dis. 2: 664 (1983).
12. Petersen, N.H.; Carson, L.A.; Favero, M.S.: Bacterial endotoxin in new and reused hemodialyzers: a potential cause of endotoxemia. Trans. Am. Soc. artif. internal Organs 1981: 155-160.
13. Kaplow, L.S.; Goffinet, J.A.: Profound neutropenia during the early phase of hemodialysis. J. Am. med. Ass. 203: 1135 (1968).
14. Craddock, P.R., Fehr, J.; Dalmasso, A.P.; Brigham, K.L.; Jacob, H.S.: Hemodialysis leukopenia-pulmonary vascular leukostasis resulting from complement activation by dialyzer cellophane membranes. J. clin. Invest. 59: 879 (1977).
15. Hakim, R.M.; Lowrie, E.G.: EfFcct of dialyzer reuse on leukopenia hypoxemia and total hemolytic complement system. Trans. Am. Soc. artif. internal Organs 26: 159 (1980).
16. Nakamura, Y.; Ozawa, K.; Akiba, T.; Matsui, N.; Yoshiyama, N.; Nakagawa, S.; Takeuchi, J.: Modified leukopenic response and complement activation during dialyzer reuse. Proc. clin. Dial. Transplant Forum 10: 237-239 (1980).