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

Abstract

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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Citations

May 3, 2011·Advances in Chronic Kidney Disease·Fiona M Garlich, David S Goldfarb
May 7, 2009·Journal of Neurochemistry·Dinesh K DeelchandPierre-Gilles Henry
Aug 25, 2015·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·F J Gennari
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Mar 12, 2004·Nephrology·Moon-jae KimSeoung woo Lee
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Nov 23, 2019·Critical Care : the Official Journal of the Critical Care Forum·Charlotte L ZwagerPaul W G Elbers
Jul 1, 1991·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·W E Harmon

Related Concepts

Acetic Acids
Anoxemia
Carbonic Acid Ions
Ampholytes
Hemodialysis
Hypotension
Myocardial Contraction
Sodium
Sodium Bicarbonate
Vinegar

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