AREP HDF Spotlight: The Essentials of Hemodiafiltration: The Value of Convection

One of the main driving forces of hemodiafiltration relies on the higher total dialytic dose delivered that includes total ultrafiltration volume, namely the convective dose, that increase and extend molecular weight spectrum of uremic compounds removed with hemodiafiltration. In this presentation, the main factors that condition performances of hemodiafiltration that include blood flow, dialyzer design and surface area, substitution and ultrafiltration flow, dialysate flow, anticoagulation and treatment time will be revisited. In addition, technical options and features of HDF machines facilitating achievement of target and their impact on water and dialysis fluid saving will be discussed. Finally, the impact on selected and clinically relevant solute clearances (urea, phosphate and B2M), solute kinetic and circulating levels control will be analyzed.

Joint Accreditation Statement:

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Columbia University. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

Physicians (ACCME) Credit Designation: 

Amedco LLC designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Physician Assistants: 

PAs may claim a maximum of 1.50 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. 

Nurse Practitioners: 

The American Association of Nurse Practitioners (AANP) recognizes the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC) as approved accreditors and allow reciprocity for AANPCP continuing education credit. Maximum of 1.50 hours. 

International CME Accreditation

The American Medical Association has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™.

ACCME/AMA PRA Category 1 Credits™ carry reciprocity with EACCME member countries and most international licensing bodies for physicians, with some exceptions. Physicians should check with their country/board for eligibility.