Abstract
The observation that post-dialysis rebounds of some solutes (BUN, Creatinine, Uric Acid) might be proportional to the efficiency of dialysis (1) makes this problem a topical subject today, when the so called “High Efficiency Treatments” are winning interest and approbation. The same question can be asked for what concerns Acid-Base status, either for the rapid correction during dialysis or for the trends of blood pH and bicarbonate between a dialysis and the next one. So we have valued the trends of BUN, plasma Creatinine and Acid-Base status in patients treated by High Efficiency Hemodialysis (HEH D) at increasing intervals following the completion of dialysis. As HEHD we intend an adequate dose of dialysis (diffusive, convective or mixed), with a reduction of the time of treatment of, at least, 20–25% in comparison to a Standard Hemodialysis (SHD); in general we could say: in the shortest possible time.
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