Publications by authors named "Shunichiro Urabe"

It was reported that amino acid infusion during hemodialysis is useful for improving nutritional status. The optimal administration method of amino acid infusion under the high-volume pre-dilution on-line HDF (HVPO-HDF) was analyzed in this study. Subjects were 10 patients on maintenance dialysis at our clinic.

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In this study, we investigated differences in amino acid losses between HD and pre-dilution on-line HDF with equal Kt/V for urea to determine which modality removes less amino acids from extravascular pools and ensures better nutrition. The subjects were patients receiving pre-dilution on-line HDF (n = 10) or HD (n = 10) at this hospital. Dialysis time was 4 h for all patients.

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Article Synopsis
  • A 55-year-old dialysis patient with restless legs syndrome (RLS) initially experienced issues with predilution online hemodiafiltration (HDF) due to high transmembrane pressure (TMP), leading to unstable treatment conditions.
  • The integration of a new constant-pressure predilution online HDF system effectively controlled TMP, keeping it below 200 mmHg and improving the α1-microglobulin removal rate.
  • As a result, the patient has been symptom-free with an International Restless Legs Syndrome Rating Scale (IRLS) score of 0 for the past 4 years, requiring no adjustments to the flow rate during treatment.
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