Читать книгу 40 Years of Continuous Renal Replacement Therapy - Группа авторов - Страница 20

The latest generation of machines available on the market today and representing the evolution of the past 4 decades of research and development is shown in Figure 1. Specific machines have now been designed to permit safe and reliable performance of the therapy. These new devices are equipped with a user-friendly interface that allows for easy performance and monitoring. The apparent complexity of the circuit is made simple by a self-loading circuit or a cartridge, which includes the filter and the blood and dialysate lines. Priming is performed automatically by the machine, and pre- or post-dilution (reinfusion of substitution fluid before or after the filter) can be easily performed by changing the position of the reinfusion line. These new machines permit all CRRT techniques to be performed by programming the flows and the total amounts of fluid to be exchanged or circulated as a countercurrent dialysate throughout the session.

Fig. 2. The impact of technology in the process of prescription and delivery of continuous RRT (CRRT; reproduced with permission from [39], www.adqi.org).