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Hybrid Therapies 

Hybrid Therapies
Chapter:
Hybrid Therapies
Author(s):

Claudio Ronco

, Silvia De Rosa

, and Sara Samoni

DOI:
10.1093/med/9780190225537.003.0025
Page of

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date: 20 October 2020

General features of hybrid therapies include: 1) use of standard equipment from ESRD programs, including machinery, filters, extracorporeal blood circuitry, and on-line fluid production for dialysate and ultrafiltrate replacement; 2) therapy is intentionally “discontinuous” (i.e. intended duration is less than 24 hrs); 3) treatment duration is longer than conventional IHD. Solute and fluid removal are slower than conventional IHD, but faster than conventional CRRT, thereby allowing “scheduled down time” without compromise in total daily dialysis dose. Solute removal is largely diffusive, but variants with a convective component, such as SLEDD-f and AVVH, are possible.

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