Hemodialysis
In the context of end-stage renal failure, where kidney function has decreased to below 15% of normal, patients generally have two primary treatment options: Dialysis or a Kidney transplant. Here’s a brief overview of both options:
Dialysis: It helps to perform the essential functions of the kidneys when they can no longer do so. There are two main types of dialysis:
- Haemodialysis: This method involves using a machine and a dialyzer (artificial kidney) to filter blood outside the body. Blood is drawn from the body, filtered through the dialyzer to remove wastes and excess fluid, and then returned to the body. Haemodialysis is typically done at a dialysis centre three times a week, though home haemodialysis is also an option for some patients.
- Peritoneal Dialysis: This method uses the peritoneum (the lining of the abdominal cavity) as a natural filter. A special solution (dialysate) is introduced into the abdominal cavity through a catheter. Waste products and excess fluids pass from the blood vessels in the peritoneum into the dialysate, which is then drained away and replaced with fresh solution. Peritoneal dialysis can be done at home and can be performed manually or using a machine.
This page deals with haemodialysis.
Yes, that’s correct. The term “haemodialysis” comes from “haemo,” which means blood, and “dialysis,” which means separation or filtration. In haemodialysis, the process involves:
- Balancing Blood Chemistry: The dialysis machine helps maintain the right balance of electrolytes and other substances in the blood, which the failing kidneys can no longer regulate effectively.
- Filtering Wastes and Fluids: The machine filters out waste products and excess fluid that accumulate in the blood due to kidney failure. This is done through a dialyzer (or artificial kidney) that uses a semi-permeable membrane to separate these waste products from the blood.
By performing these functions, haemodialysis helps to keep the body’s internal environment stable, despite the loss of kidney function.
Haemodialysis is a critical treatment for individuals with end-stage renal failure, where the kidneys are no longer able to adequately filter waste from the blood. Here’s a summary of the process:
- Accessing the Blood: Two needles are placed into a patient’s arm—one to withdraw blood and another to return the filtered blood.
- Dialysis Machine: The withdrawn blood travels through tubing to a dialysis machine.
- Dialyzer: Inside the machine, the blood passes through a dialyzer, also known as an artificial kidney. This device contains a semipermeable membrane that filters out waste products and excess fluid from the blood.
- Dialysate: The dialyzer uses a special fluid called dialysate, which helps remove wastes and maintain the proper balance of electrolytes in the blood.
- Returning the Blood: After the blood is cleaned, it is pumped back into the patient’s body through the second needle.
- Setting: Haemodialysis is usually carried out at a specialized dialysis center, though home haemodialysis options are available for some patients.
The process is essential for managing the health of individuals with severely compromised kidney function, helping to maintain the balance of electrolytes, fluids, and waste products in the body.
Hemodialysis at BKC
Hemodialysis is a critical procedure for patients with kidney failure, and at BKC, we offer state-of-the-art facilities and advanced technology to ensure the best care. Our dedicated hemodialysis unit is equipped with sophisticated machines and adheres to the highest standards of patient safety and comfort.
Here’s a summary of the key features and facilities:
- Advanced Equipment:
- 14 State-of-the-Art Hemodialysis Machines: 13 in the dialysis unit and 1 in the ICU.
- Sophisticated Reverse Osmosis Plant: Ensures high-quality water for dialysis, with periodic cultures to monitor purity.
- Dialysis Facilities:
- Fresenius Hemodialysis Machines: Equipped with individual stations.
- Single-Use Dialyzers and Tubing: Prevents infection by avoiding reuse.
- Specialized Plex RO Pipelines: Imported from Germany for optimal water quality.
- Advanced Fresenius RO Plant: One of the few in India with such high standards.
- Monitoring and Management:
- TDMS (Therapy Data Management System): Allows doctors to monitor and control patient data remotely, including pressures, pump speed, and fluid removal.
- Patient Comfort and Safety:
- Special Dialysis Couches: Comfortable for patients.
- Individual TVs: Each station has access to HD channels.
- Smart Cards: Contain patient demographic data.
- Fully Furnished and Air-Conditioned Surroundings: Ensures a comfortable environment.
- Daily Monitoring and Audit: For both patients and machines.
- Professional Care and Protocols:
- Personal Attention: Provided by senior doctors and a dedicated round-the-clock team.
- Specialized Training: For dialysis team members, including cannulation practice.
- Hand Hygiene Surveillance: Monitored by CCTV with strict infection control practices.
- Strict Adherence to Protocols: Ensures high standards of medical care and safety.
- Dedicated Space for HBsAg and HCV Positive Patients: Ensures safety and specialized care.
This setup not only emphasizes the latest technology and equipment but also reflects a strong commitment to patient safety, comfort, and effective management.