Hemodialysis Machines Capable of Performing Isolated Ultrafiltration in the Absence of Adequate Water Supply Are Needed During Disasters

摘要

To the Editor: Immediate life-threatening events associated with the interruption of extracorporal renal replacement therapies during disaster situations are mainly caused by volume overload and hyper- kalemia. 1,2 When the interruption of standard hemodialytic methods is due to lack of adequate dialysis water, convection-only S1 renal replacement therapy aimed at removing excess volume with variable degrees of solute clearance can be life-saving in patients with acute kidney injury and end-stage kidney disease. This has been done in the Syrian conflict during the siege of Aleppo of 2016 using a conventional hemodialysis machine, 3 and even with a stand-alone blood pump to treat acute kidney injury during the same conflict.