Navigation Links
Nocturnal Dialysis: A Better Way to Kidney Health
Date:6/20/2008

Patients find quality of life is greatly improved, too,,,,

FRIDAY, June 20 (HealthDay News) -- While dialysis is a lifesaving treatment for many people with kidney disease, it can be very inconvenient. And the process just doesn't clean the blood as effectively as well-functioning kidneys do.

But, nocturnal dialysis -- a newer option -- is starting to change all that.

Nocturnal dialysis, not surprisingly, is dialysis performed at night. It's usually done at home, though some people opt for in-center nighttime treatments. The big benefit to nocturnal dialysis is that the blood is filtered for about eight hours at a time, instead of the standard two-and-a-half to three hours. And, because it's usually done at home, it can be performed more frequently than the usual three times weekly.

"One of the major problems with dialysis done in the traditional sense is that it tries to provide a lot of therapy in a short period of time, and it's difficult to clear toxins and fluid in that time," said Dr. Dylan Steer, a nephrologist with Scripps Memorial Hospital in La Jolla, Calif. "Nocturnal dialysis provides a greater amount of toxin removal over a long period of time."

Dr. Robert Provenzano, chairman of the department of nephrology at St. John Hospital in Detroit, added: "The advantage of nighttime dialysis is that if you add the hours up, you get more dialysis delivered. Weekly, you get between 10 and 12 hours on regular dialysis, but on nighttime [dialysis] you get about 24. The blood is cleaner, and a lot of the restrictions placed on dialysis patients are lessened. They often use less medicine and can have a more liberal diet. The more dialysis, the better."

Normally functioning kidneys filter about 200 quarts of fluid each day, according to the U.S. National Institute of Diabetes and Digestive and Kidney Diseases. All that filtering produces about two quarts of waste and some excess water. If the kidneys can't filter the fluid, waste products build up, making you ill.

Dialysis machines attempt to artificially do the work of your kidneys. Some of your blood is removed from your body and filtered through the dialysis machine, which removes toxins from the blood before returning it to your body.

Normally, people travel to a dialysis center and spend about three-and-a-half hours hooked up to the dialysis machine three times a week, usually during the day.

Recently, some centers have begun to offer nocturnal dialysis. Instead of coming during the day, patients arrive in the evening and are "dialyzed" for about eight hours while they sleep at the center, usually three times a week.

Another alternative is at-home nocturnal dialysis. At-home dialysis is an option for many people, according to Provenzano, who added that many of his patients who've chosen this option tell him they wish they'd started at-home dialysis sooner.

"The machines are much smaller, and all you have to do is plop a cartridge in. It's much less complicated than it used to be," he said.

The benefits to nighttime dialysis are clear. A recent study in the Journal of the American Medical Association found that nocturnal dialysis improved the heart health of dialysis patients, reduced the need for some blood pressure medications, and improved quality of life.

"Dialysis patients need to know that nocturnal dialysis is one of a number of options that they have for their dialysis," Steer said.

Both Steer and Provenzano said they haven't had any problems getting insurers to cover nocturnal dialysis.

"This is available. It's something patients can do themselves that improves the amount of delivered dialysis, and patients do fantastic on it," Provenzano said.

More information

To learn more about dialysis options, visit the National Kidney Foundation.



SOURCES: Robert Provenzano, M.D., chairman, department of nephrology, St. John Hospital, Detroit; Dylan Steer, M.D., nephrologist, Scripps Memorial Hospital, La Jolla, Calif.; Sept. 19, 2007, Journal of the American Medical Association


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Conventional prognostic factors fail to explain better prostate cancer survival in most Asian men
2. Waist-to-hip ratio may better predict cardiovascular risk than body mass index
3. Informational handout key to giving parents a better understanding of CT radiation risks
4. Children of depressed moms do better when dad is involved, SLU researcher finds
5. Struggling male readers respond better to female teachers
6. Physician Skin Care Specialist Says Proposed New Rules for Sunscreen Products Will Better Protect the Public
7. Mothers Know Best: NFL Moms Team With Eddie George to Showcase a Better Way to a Healthier Lifestyle
8. Researchers Find Better Way to Deliver Blood Thinner
9. Clinical trials present better alternatives for dialysis patients
10. New nurses report job stress, need for better management
11. Hispanics hypertension better controlled with equal access to care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/19/2017)... ... February 19, 2017 , ... The Citadel’s new Swain Department ... being led by Amelia Joseph, Ph.D. Joseph was engaged by the college as a ... department in early 2016. After a nation-wide search, she was selected to head the ...
(Date:2/19/2017)... Van Wert, OH (PRWEB) , ... February 19, 2017 , ... ... known as The JEMS Conference & Exposition, the event will take place February 23-25, ... Utah. Braun Industries will be in Booth #909 with three new ambulances ...
(Date:2/19/2017)... ... February 19, 2017 , ... ProBrand Glitch is a set of 30 glitch distortion logo ... can easily reveal any logo with a glitch reveal in just a few clicks of ... style and animation of each preset. Use these presets to add a uniquely animated logo ...
(Date:2/19/2017)... ... February 19, 2017 , ... ... in better care, and MEDfx and the Delaware Health Information Network (DHIN) have ... As the nation’s first state-wide health information exchange, DHIN stores and shares real-time ...
(Date:2/19/2017)... ... February 19, 2017 , ... ... healthcare, will join forces with Healthwise ® at HIMSS 2017 ... industry leader in evidence-based health education, technology and services, will demonstrate a voice-powered ...
Breaking Medicine News(10 mins):
(Date:2/19/2017)... 2017  nThrive™, an independent Patient-to-Payment? solutions company ... leadership at the 2017 HIMSS Conference. The company ... from KLAS. nThrive will host a ... market trends shape the holistic, integrated revenue cycle ... Patient Access solution. The panel will reveal how ...
(Date:2/19/2017)... , February 18, 2017 Marapharm ... to purchase a Medical Delivery Service with the specific ... transactions between qualified patients and caregivers. The delivery service ... located in the Coachella Valley, California ... Los Angeles area to the West, population ...
(Date:2/19/2017)... and ORLANDO, Fla. , Feb. ... NKTR ) today announced that positive Phase 1 clinical ... with renal cell carcinoma (RCC) were presented at ASCO ... to expand specific cancer-fighting T cells and Natural Killer ... increase expression of PD-1 on these immune cells.  The ...
Breaking Medicine Technology: