Biography
Biography: Thomas Ryzlewicz
Abstract
There does exist several points in dialysis technology for improvement. First point is the systemic pressure (blood pressure entry of the dialyzer). This equipment does detect kinking of the bloodline (by wrong handling) as well as to detect a totally thrombosis of the dialyzer. By this, the critical haemolysis will be prevented from the patient. The 3 online-HDF studies will be discussed (treatment-time was too short, no use of predilution, bloodflow for postdilution was too low). The advantage of the dBV-measurement should be used in order to prevent the vascular under-filling by ultrafiltration of the patient. The continous reduction of the diameter of the single fibre capillary (> in order to elevate the KUF will be discussed critically. The new design of a dialyzer (mit-cut-off membrane) will also be discussed critically. The VAM (Vascular Access Monitor) should be important for every new monitor in order to prevent the disconnection. The ISO norm 11663 will be discussed especially for the production of sterile fluid for online-therapies. The acidification of bicarbonate dialysis fluid with citrate finally is necessary in order to prevent the calcification even in the prescription of the classical dialysis fluid (with acidification of acetate). In this context, there will be a follow up word concerning not-handling of medical authorities in case of problems with a medical product.