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We are in the process of starting a new CRRT program. I have been getting quotes from all of the local reps on the various disposables. The one rep is of the opinion that CRRT can be performed with a normal small hi-flux dialyzer (FX60). This would be a great cost saver, but I thought CRRT dialyzers had a longer "life-span", were less likely to clot etc. We'll be using the Fresenius multifiltrate (MF) machine.

What are all of you using? Anyone have experience/opinions using one or the other?
 
Posts: 10 | Location: RSA | Registered: 30 January 2014Report This Post
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You should be using Hemofilters, and not dialyzers. If you must use a dialyzer rather use FX600 or FX800. I found the Prismaflex the best CRRT machine to use. Anticoagulation is the big secret to filter clotting.Good Luck.
 
Posts: 38 | Location: South Africa | Registered: 17 January 2008Report This Post
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Thanks for that Kevi. Any specific brand of Hemofilter which you would recommend?
 
Posts: 10 | Location: RSA | Registered: 30 January 2014Report This Post
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We have no problems with the NxStage. Check out the NxStage video on their website.
 
Posts: 2 | Location: Illinois | Registered: 21 March 2005Report This Post
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Sorry no specific brand that I can recommend. Go with what you have that you think is best for what you want to achieve. The Prismaflex filters are attached to the lines.
Nay Nay the Nxstage is not available here yet. hopefully next year if they can find an agent.The Surdial X looks very promising as an CRRT machine.
 
Posts: 38 | Location: South Africa | Registered: 17 January 2008Report This Post
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Thanks for that. I've ordered a few in the spec range and price range that we are looking at, will change brands if needed at a later stage.

As a side note, I found out the the FX range does not fit onto the MF lines anyway. So we have to use hemofilters. Anyone know what the actual difference is between a normal dialyser and a hemofilter? Only better middle mol clearance?
 
Posts: 10 | Location: RSA | Registered: 30 January 2014Report This Post
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oh yes. the fx does not have the locking dialysate ports. yes its just higher uf.
 
Posts: 38 | Location: South Africa | Registered: 17 January 2008Report This Post
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