Hemodialysis-associated neutropenia and hypoxemia: the effect of dialyzer membrane materials.

Abstract:

:The fall in white blood cells (WBC) and arterial oxygen pressure that occurs during hemodialysis was investigated as a function of different dialysis membranes and different sterilization methods. 8 chronic hemodialysis patients were studied and each was dialyzed with three different membranes: cellulosic hollow fiber, polyacrylonitrile flat sheet and polymethylmethacrylate hollow fiber. Each dialyzer was studied with a dry sterilization method and after formalin treatment. Arterialized blood gas, bicarbonate and WBC were drawn at various intervals throughout dialysis. The effect of the sterilization method was minimal. Cellulosic membranes were shown to cause significantly more neutropenia (p less than 0.001) and hypoxemia (p less than 0.01) than the other two membranes. No significant differences was seen in pH, PCO2 and bicarbonate. The results indicate differences in biocompatibility between different membranes. Clinical implications are discussed.

journal_name

Nephron

journal_title

Nephron

authors

Hakim RM,Lowrie EG

doi

10.1159/000182728

subject

Has Abstract

pub_date

1982-01-01 00:00:00

pages

32-9

issue

1

eissn

1660-8151

issn

2235-3186

journal_volume

32

pub_type

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