Table of Contents
What is membrane biocompatibility?
A biocompatible membrane (BCM) has traditionally been defined as “one that elicits the least amount of inflammatory response in patients exposed to it” [1]. (See “Biochemical mechanisms involved in blood-hemodialysis membrane interactions”.)
What is long term exposure to biocompatible membranes used during dialysis?
Malnutrition is highly prevalent in chronic hemodialysis patients and is an important determinant of their morbidity and mortality. Several recent studies have suggested that the inflammatory response associated with the biocompatibility of the dialysis membranes is a potential contributing factor.
Which dialysis membrane is the most biocompatible?
Unmodified cellulose membranes, such as cuprophan, are relatively inexpensive but also the most bioincompatible. The modified cellulose membranes (such as those made of cellulose acetate or hemophan) have some or all of the hydroxyl groups esterified to make them more biocompatible.
What are biocompatible dialyzers?
Abstract. Biocompatibility of dialysis membranes can be defined as the sum of specific interactions between blood and the dialysis membranes.
What is cellophane membrane?
Cellophane membranes are regenerated transparent cellulose membranes of high hydrophilicity, good mechanical properties, and biodegradability, biocompatibility, and gas barrier characters. The crystallinity and porosity of the membranes have been controlled through the regeneration conditions over the last decades.
How are dialyzed membrane characterized?
A dialysis membrane is a semi-permeable film (usually a sheet of regenerated cellulose) containing various sized pores. Molecules larger than the pores cannot pass through the membrane but small molecules can do so freely. It is important to note that the MWCO of a membrane is not a sharply defined value.
What are the parameters monitored during dialysis?
Today, the different parameters for which on-line monitoring is possible are: blood volume (BV) changes, dialysate conductivity, urea kinetics and thermal energy balance.
What is dialysis urea?
When kidneys fail, dialysis is necessary to remove waste products such as urea from the blood. By itself, urea is only mildly toxic, but a high urea level means that the levels of many other waste products that are more harmful and not as easily measured are also building up.
What is the purpose of a dialysis membrane?
Hemodialysis membranes are used to remove accumulated uremic toxins, excess ions and water from the patient via the dialysate, and to supply (deficit) insufficient ions from the dialysate.
What are dialysis membranes made of?
Dialysis tubing is a semi-permeable membrane, usually made of cellulose acetate. It is used in dialysis, a process which involves the removal of very small molecular weight solutes from a solution, along with equilibrating the solution in a new buffer.
Why are synthetic dialysis membranes more biocompatible?
Synthetic membranes are credited of higher biocompatibility than cellulosic membranes. In general, they are highly permeable to peptides and proteins of the middle molecular range that contain some uremic toxins.
What does biocompatibility mean in medical terms?
Biocompatibility is the most commonly used term to describe appropriate biological requirements of a biomaterial or biomaterials used in a medical device. Biocompatibility has also been described as the ability of a material to perform with an appropriate host response in a specific application.