Core Concepts in Dialysis and Continuous Therapies 2016.pdf

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Core Concepts in Dialysis and Continuous
Therapies
Colm C. Magee • J. Kevin Tucker
Ajay K. Singh
Editors
Core Concepts in Dialysis
and Continuous Therapies
Editors
Colm C. Magee, MD, MPH, FRCPI
Department of Nephrology
Beaumont Hospital
Dublin, Ireland
J. Kevin Tucker, MD
Department of Medicine/Renal Division
Brigham and Women’s Hospital
Harvard Medical School
Boston, MA, USA
Ajay K. Singh, MBBS, FRCP, MBA
Global and Continuing Education
Harvard Medical School
Boston, MA, USA
ISBN 978-1-4899-7655-0
ISBN 978-1-4899-7657-4 (eBook)
DOI 10.1007/978-1-4899-7657-4
Library of Congress Control Number: 2015959598
Springer Boston, MA, Heidelberg New York Dordrecht London
© Springer Science+Business Media, LLC 2016
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is
concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction
on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation,
computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not
imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed
to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty,
express or implied, with respect to the material contained herein or for any errors or omissions that may have been
made.
Printed on acid-free paper
Springer Science+Business Media LLC New York is part of Springer Science + Business Media (www.springer.com)
Foreword
Dialysis from its earliest days had its foundations in both science and clinical medicine. The
Scottish chemist Thomas Graham, known as the “Father of Dialysis” provided a scientific
description of solute diffusion. Georg Haas, at the University of Giessen near Frankfurt am
Main, performed the first (albeit clinically unsuccessful) dialysis treatments involving humans.
Later, Willem Kolff, working under extraordinary conditions in the Netherlands, pioneered the
first clinically successful dialytic treatment of a patient with acute kidney injury. A half century
ago, Belding Scribner and colleagues pioneered the wider application of dialysis as a therapy
for irreversible kidney failure, by providing a means for repetitive access to the circulation
without the destruction of blood vessels. In the past five decades, the use of dialysis as a life
sustaining therapy has expanded both in the USA and globally, to a degree likely beyond the
comprehension of the early pioneers. Today over 60 nations provide universal access to main-
tenance dialysis, and more than a million people receive dialysis each year worldwide. Truly
clinical necessity has been the mother of dialysis invention and innovation.
There exist many tomes that comprehensively cover the technical aspects of delivering dial-
ysis therapy, along with the clinical care of patients on dialysis. Additionally, there are hand-
books on dialysis which now cover all of the “how-to” practical aspects needed for immediate
management decisions. Yet there remains a gap in information that this book covers—namely
this text fills a need for a succinct coverage of the core concepts around renal replacement
therapy inclusive of hemodialysis, peritoneal dialysis, and continuous therapies. Moreover this
book provides timely and authoritative reviews from leading experts in the field. It also brings
an international flavor by recruiting authors from around the world, reflecting global issues and
needs. The target audience? Nephrologists and informed generalists. I congratulate the editors
and authors for covering the clinical art and techne of dialysis, and for a job well done.
Jonathan Himmelfarb, MD
v

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