An analytical solution to solute transport in continuous arterio-venous hemodiafiltration (CAVHD)

Abstract

In conventional intermittent hemodialysis, the overall mass transfer coefficient ( K o) of a dialyser is mostly calculated at zero ultrafiltration and at relatively high dialysate flow rates. In continuous arterio-venous hemodiafiltration (CAVHD), the dialysate flow rates are low as comparable to the rates of ultrafiltration flows, making the dialysis treatment as slow as possible. Therefore the overall mass transfer coefficient ( K d) of a CAVHD hemofilter has to be calculated in the presence of ultrafiltration. A mathematical model of CAVHD is presented in order to calculate the diffusive mass transfer coefficient ( K d) for a solute when blood, filtrate and dialysate flow rates and solute concentrations are known. The ultrafiltration volume flux ( J v) is assumed to vary linearly along the axial direction of the hemofilter. The calculated mass transfer coefficient K d shows that at high values of dialysate flow and low values of ultrafiltration, the overall mass transfer coefficient ( K d) of a CAVHD hemofilter equals mass transfer coefficient ( K o) of a dialyser in conventional intermittent hemodialysis. Also, the calculated mass transfer coefficient K d shows no significant differences when the ultrafiltration volume flux is assumed to be constant along the length of the hemofilter if no backfiltration occurs in the hemofilter.