Why do we have two kidneys if we can perfectly live with one? Kidneys for live ” Spain, March 2012.- this is the question that ALCER wants to move to the citizens. So tables will be installed in 50 cities where people can...
Read More“ The patient with a transplanted kidney, has better quality of life, but must not forget his sick condition and must take care with care their health ”.
almost 100 experts in dialysis and transplants met in Granada to discuss the present and future of chronic kidney disease. According to the Spanish society of dialysis and transplant (SEDYT) increasingly is diagnosed earlier and better kidney disease.
-Congress will analyse the nutrition in patients on dialysis and prior to kidney transplantation care
– will be discussed on the present and future of hemodialysis and peritoneal dialysis and transplants, especially live
– patient data updated in 2010 with chronic kidney diseasehemodialysis and dialysis, and transplanted in Spain, Andalusia and Granada
Spain, 2011-may the Dr. Julen Ocharan, President of the Spanish society of dialysis and transplantation, and President of the Scientific Committee of the Congress XXXIII SEDYT believes that “ the transplanted patient is a success in chronic kidney disease but should not be forgotten that it is of a patient in which renal develops it only one kidney, should therefore take care of it and must take care. It should continue with a healthy lifestyle, monitoring food and take medication for the care of the kidney with rigorous ”.
This will be one of the ideas to be dealt with in the XXXIII Congress of SEDYT that according to Dr. José Hervás, President of the Congress “ wants to be a new point of encounter and discussion for top professionals in our country in the field of dialysis and kidney transplantation. We must not forget that in Spain currently there are 40,000 patients with chronic kidney disease who need kidney replacement therapy, i.e. dialysis ”.
Congress begins on Wednesday May 11 hours in Nephrology nursing, a space so that nurses and optional can share knowledge environment for dialysis. The new challenges and new tasks of the Nephrology nursing, with special attention to food will explore. Malnutrition is one of the first consequences of dialysis patients, who must also control the consumption of nutrients such as phosphorus or potassium, if they are not correctly filtered can cause very serious diseases.
Thursday, may 12, the debates rotate on dialysis. We will analyze the present and future prospects of hemodialysis and peritoneal dialysis, techniques that have a different impact on the quality of life of the patient. Hemodialysis was the first system devised to replace the cleaning function that does not make one sick kidney, still today the technique most commonly used in Spain in the treatment of patients with chronic kidney disease. Also discuss new advances in Nephrology therapy according to Dr. José Hervás, President of the Congress “ allow for a better quality of life and survival in these patients, which are reduced their quality of life at the time that must connect to a machine ”. The new basic guidelines for clinical practice of the Spanish society of dialysis and transplant (SEDYT) will also be presented to ensure the protocolarización of the treatment of this disease and to ensure adequate care to the patient.
Friday 13, last day of the Congress, will be dedicated to transplants, with particular emphasis on transplantation of live, which will give details the Dr. Antonio Osuna in the Hospital Universitario Virgen de las Nieves of Granada and Dr. Rafael Matesanz, director of the national transplant organisation.
Terminology help
Kidney and liver are the two scrubbers organs of our body. Renal replacement therapy may be the transplant and dialysis (which in turn may be hemodialysis or peritoneal dialysis).
Dialysis: is the medical term used to define the artificial process of filtration of waste products and the Elimination of excess fluids of the body at the time in which the kidneys cannot be it normally.
Hemodialysis: Is a type of dialysis. It was the first technique that was used in Spain and remains the most widely used. Currently 90% of kidney patients using hemodialysis. A complex in a vein puncture is performed that can leave the blood cleaned through an external circuit through a machine. Patients requiring hemodialysis often performed in a hospital or specialized Centre. Go about 3 or 4 days a week and are about 4 hours in each session.
Peritoneal dialysis: is another technique of dialysis. It is used as a natural membrane filter – peritoneum – internally lining the abdominal cavity of the patient. Requires a small surgical procedure in which a catheter is inserted in the stomach, through it is the exchange of fluids, either manual or mechanized. This type of dialysis is always home, and allows a greater autonomy of the patient.
Read MoreThe Hospital Sant Joan is a pioneer in the community in the technique of the donation to heart stopped.
marks a year of the implementation of this procedure in the Center
– is one of the few Spanish centres that carry out this type of donation
Sant Juan, October 2010.- the unit of coordination of transplants of the Department of health Alicante – Sant Joan d ’ Alicante has become the first Community Centre in developing a stopped heart grant or donation program in asystolicspecializing in the removal of kidneys, serving now a year of its implementation.
This unit, composed of the DRA. Lorraine Peiró and the nurse sea Alba, featured during the last quarter of 2009 with a donor to these characteristics and the current year have already reported four cases. “What we value as a figure significant, taking into account that the potential donor must meet certain requirements (as being under 60 years of age, have had a tumour disease not malignant and have not been diabetic or hypertensive long-term, among others), as well as the difficulty of carrying out this technique and speed of action and rapport which is required to” “the different teams which take part in it”, noted Peiró.
In this sense, the donation to stationary heart requires a good infrastructure of the services involved: emergency, surgery, urology, UCI, SAMU, judges and medical examiners. “This has been possible by means of regular meetings between the unit for the coordination of transplants and the mentioned services, transmit them, in addition, illusion in the task”, added the officials, “there is a basic work with the SAMU, by raising awareness of the speed with which must deal with a potential donor (a patient suffers a heart stop and receive advanced cardiopulmonary resuscitation without)” success for a long time (usually 30 minutes) “.”
Performance and development of the technical Protocol
In this case, the SAMU gives the warning to the CICU (coordination and emergency information center), and it communicates to the emergency room and the coordinators of transplants at the hospital at the time that comes the potential donor.
Thereafter, er continue maneuvers of resuscitation, and in case of death the Transplant Coordinator assesses whether the donor is valid or not, pursuant to the aforementioned requirements. Then, if the family accepts the donation has signing authority. Highlight the responsible, families are generally aware and often access to the donation.
If this happens, is the application of the technique, in which surgeons perform a groin pipe and placed catheters in an artery and a vein. Through them starts the phase of “perfusion” of the kidney (phase of cooling due to the spread of a fluid through the body).
“Times are fundamental.” There has to be witnesses to mark the moment of death; Thus times need to be accurate and requires that all work together. “As an example, since that is the case the stop heart until that begins the perfusion must within a maximum of one hour”, noted the head of the unit.
Renewal of a classic method
Hospital Sant Joan is one of the few Spanish centres that carry out this procedure, among which are hospital ClÃnico San Carlos in Madrid, clinic of Barcelona, and Virgen de las Nieves in Granada, among others. From the ONT (national transplant organisation) and the regional coordination of transplants of the region is intended to promote this type of donation.
Currently, the donation in asystolic in more hospitals due to a decline in donor Classics (for Encephalic death), as a result of the decrease in traffic accidents and, on the other hand, advances experienced in the field of neurosurgery is promoting. Therefore, it is a valid way to contemplate, but mindful that requires a running time, as well as a major collective effort.
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