PMID: 3028133Jan 1, 1987

Acetate dialysate versus bicarbonate dialysate: a continuing controversy

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
S M Diamond, W L Henrich


The use of bicarbonate dialysate as the buffer during routine dialysis is growing. This discussion reviews several of the comparative trials in which bicarbonate and acetate buffers have been tested. Effects of the two buffers on BP, cardiac function, and pulmonary performance are discussed. Costs of the two systems are also compared. Patients who seem most likely to benefit from bicarbonate dialysate include those with a reduced muscle mass in whom a high sodium dialysate has not prevented hypotension.


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Related Concepts

Acetic Acids
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