Haemodialysis is the most common form of artificial replacement therapy in ESRD and is also used in acute kidney injury if needed. Among the two types of dialysis methods, this one is more common. It is mostly performed in dialysis centres but can be performed at home as well. In this procedure, a tube is attached to your arm, which carries unfiltered blood out of your body, and passes it through a dialysis machine. Then, the filtered and clean blood that comes from the dialysis machine is sent back to your body through another tube. It takes around four hours for the procedure to finish and is usually performed three times a week. If performed at home, your nephrologist will prescribe you a schedule best suited for your condition regarding how many days and how long you need to perform the procedure.
Acute kidney injury is a state when the kidneys suddenly fail to remove the waste products from the body over a few hours or days. The harmful effect on the body is the same as what happens in chronic kidney injury, but it happens suddenly due to acute health conditions or an accident.
Compared to other techniques, haemodialysis offers the best rate of small waste clearance in acute kidney injury. Still, your doctor will start it gradually because of the risk of confusion and convulsions due to cerebral oedema(dialysis disequilibrium). Cerebral oedema is the build-up of fluid in parts of your brain. Typically you will be prescribed 1-2 hours of dialysis initially, but subsequently, if you are hemodynamically stable, you can be treated with 4-5 hrs of hemodialysis on alternate days or 2-3 hrs every day. While on dialysis, you may be put on anticoagulant medicines with heparin. Anticoagulant medicines, for example, heparin and warfarin, reduce the risk of developing blood clots. So, the dose may be reduced if you have a bleeding risk.
The haemodialysis centre at The Department of Nephrology at Kokilaben Dhirubhai Ambani Hospital, Navi Mumbai is equipped with state-of-the-art infrastructure. Every examination room for haemodialysis patients is fully equipped with all types of facilities, including adjustable electric beds.
The haemodialysis unit practices an international standard infection control system and is managed by a highly competent and experienced medical team comprising highly qualified nephrologists, registered nurses, and allied haemodialysis support staff. The unit comprises twelve haemodialysis beds with state-of-the-art haemodialysis machines. The efficiency of dialysis is continuously assessed and monitored during the haemodialysis process.