Free Medical Books Nephrology

Handbook of Dialysis 5th Edition PDF

Handbook of Dialysis 5th Edition PDF

Handbook of Dialysis 5th Edition PDF
Preface
We are very fortunate and honored to present this Fifth Edition of the Handbook of Dialysis to the nephrology community. It has been 7 years since the Fourth Edition; the long interval reflects the relatively slow, incremental nature of improvements that have occurred in dialysis therapy during that period. We continue with a strong international emphasis, referencing both KDOQI and KDIGO guidelines, and taking care to express laboratory measurements in both British Imperial and SI units. The chapter on online hemodiafiltration, a therapy still not available in the United States, has been maintained and updated. A chapter on sorbent dialysis, present in the first two editions of the Handbook, but removed from the third and fourth editions as use of the REDY system dwindled, has been reinstated and modernized, given the anticipated imminent release of new sorbent-equipped machines for both in-center and home hemodialysis. The hemodialysis vascular access section, which grew from one to two chapters between the third and fourth editions, has now expanded to four chapters, testifying to the importance of vascular access to overall hemodialysis patient care.
In the peritoneal dialysis section, the access chapter was completely rewritten by a general surgeon with long experience and dedication in this area. Another completely rewritten chapter describes the growing use of acute peritoneal dialysis and “urgent start” PD. For both peritoneal dialysis and hemodialysis adequacy, fewer equations are used and, instead, analogies help explain key concepts. More emphasis is placed on dialysis time, frequency, ultrafiltration rate, and other supplementary metrics of adequacy, including doing dialysis the “European way.” To make room for expanded and additional chapters, a number of topics that were discussed in great detail in their own separate chapters in the Fourth Edition have been downsized and folded into other chapters; our goal was to maintain a pocket-sized book that focuses on frequently encountered clinical problems. As in previous editions, we have tried to maintain the unique character of the Handbook of Dialysis, aiming for a resource that will be useful to both new and experienced nephrology care providers to help them in their difficult job of assuring the best treatment for our patients.