Air bubbles pass the security system of the dialysis device without alarming

Artificial Organs

Volumn 31, Issue 2, 2007, Pages 132-139

  Jonsson, Per ^a   Karlsson, Lars ^a   Forsberg, Ulf ^b   Gref, Margareta ^a   Stegmayr, Christofer ^a   Stegmayr, Bernd ^a  

^a UMEÅ UNIVERSITY HOSPITAL   (Sweden)

^b General Hospital   (Sweden)

Author keywords

Air chamber; Air trap; Hemodialysis; Microbubbles; Regulations; Safety; Safety risk

Indexed keywords

AIR; HEMODIALYZERS; SAFETY ENGINEERING; ULTRASONICS;

AIR BUBBLES; AIR CHAMBERS; AIR TRAPS; FLUID LEVEL; FLUID SPEED; HAEMODIALYSIS; MICROBUBBLES; RECIRCULATIONS; REGULATION; SAFETY RISKS;

DIALYSIS;

DEXTRAN; DIALYSIS FLUID;

AIR; ALARM MONITORING; ARTICLE; CORRELATION ANALYSIS; DIALYSIS EQUIPMENT AND SUPPLIES; HEMODIALYSIS; MICROBUBBLE; POLARIMETRY; PRIORITY JOURNAL; SAFETY; SENSOR; ULTRASOUND; VELOCITY;

EID: 33846969507     PISSN: 0160564X     EISSN: 15251594     Source Type: Journal    
DOI: 10.1111/j.1525-1594.2007.00352.x     Document Type: Article

References (18)

1. Owen WF, Pereira BJG, Sayegh MH. Dialysis and Transplantation: A Companion to Brenner & Rektor's The Kidney. London: W.B. Saunders Company, 2000.
2. International Electrotechnical Commission (IEC). IEC601-2-16 3.6: The following is not regarded as a single fault condition: air in the extracorporeal circuit. *51.106 air infusion a) The equipment shall include a protective system to protect the patient from air-infusion which may cause a safety hazard. Particular Requirements for the Safety of Haemodialysis, Haemodiafiltration and Haemofiltration Equipment. Geneva, Switzerland: Central Office of the IEC, 1998;8, 15.
3. Socialstyrelsen. Infusion of air contaminated blood through a central dialysis catheter by mistake. Report - SOSFS1991:34 19930622 dnr:5287/1993. Socialstyrelsen, Sweden.
4. Hatteland K. CMD-10 Cardiovascular Micro Bubble Detector USER MANUAL. Røyken Norway: Hatteland Instrumentering, 1988.
5. Pedersen TH. Micro bubble detection. The Scandinavian Society of Extracorporeal Technology. Post Graduate Course (Aug 21, 1991). Oslo, Norway: National Hospital of Norway, Rikshospitalet, 1991;1-9.
6. Hatteland K, Semb BK. Gas bubble detection in fluid lines by means of pulsed Doppler ultrasound. Scand J Thorac Cardiovasc Surg 1985;19:119-23.
7. Polaschegg H-D, Levin NW. Hemodialysis machines and monitors. In: Hörl WH, Koch KM, Lindsay RM, Ronco C, Winchester JF, eds. Replacement of Renal Function By Dialysis. London, England: Kluwer Academic Publishers, 2004;325-449.
8. International Electrotechnical Commission (IEC). Medical electrical equipment - part 2-24: particular requirements for the safety of infusion pumps and controllers. IEC 60601-2-24. Rationale to 51.104.
9. Droste DW, Beyna T, Frye B, Schulte V, Ringelstein EB, Schaefer RM. Reduction of circulating microemboli in the subclavian vein of patients undergoing haemodialysis using pre-filled instead of dry dialysers. Nephrol Dial Transplant 2003;18:2377-81.
10. Droste DW, Kuhne K, Schaefer RM, Ringelstein EB. Detection of microemboli in the subclavian vein of patients undergoing haemodialysis and haemodiafiltration using pulsed Doppler ultrasound. Nephrol Dial Transplant 2002;17:462-6.
11. Rolle F, Pengloan J, Abazza M, Halimi JM, Laskar M, Pourcelot L, Tranquart F. Identification of microemboli during haemodialysis using Doppler ultrasound. Nephrol Dial Transplant 2000;15:1420-4.
12. Badylak SF, Ash SR, Thornhill JA, Carr DJ. Doppler ultrasonic detection of particulate release during hemodialysis with cellulose hollow-fiber and sorbent suspension reciprocating dialyzers. Artif Organs 1984;8:220-3.
13. Stegmayr B, Forsberg U, Jonsson P, Stegmayr C. The sensor in the venous chamber does not prevent passage of air bubbles during hemodialysis. Artif Organs 2007;31:162-5.
14. Fairshter RD, Vaziri ND, Mirahmadi MK. Lung pathology in chronic hemodialysis patients. Int J Artif Organs 1982;5:97-100.
15. Stegmayr BG, Esbensen K, Gutierrez A, Lundberg L, Nielsen B, Stroemsaeter CE, Wehle B. Granulocyte elastase, beta-thromboglobulin, and C3d during acetate or bicarbonate hemodialysis with Hemophan compared to a cellulose acetate membrane. Int J Artif Organs 1992;15:10-8.
16. Svensson M, Friberger P, Lundstrom O, Stegmayr B. Activation of FXII during haemodialysis. Scand J Clin Lab Invest 1996;56:649-52.
17. Barak M, Katz Y. Microbubbles: pathophysiology and clinical implications. Chest 2005;128:2918-32.
18. Morena M, Delbosc S, Dupuy AM, Canaud B, Cristol JP.. Overproduction of reactive oxygen species in end-stage renal disease patients: a potential component of hemodialysis-associated inflammation. Hemodial Int 2005;9:37-46.