Development of Hemodialysis: From Access to Machine

Excellence in Dialysis: Update in Nephrology
Karachi, Pakistan. October, 2002

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Development of Hemodialysis: From Access to Machine
Stanley Shaldon, MD
Please go through Parts 1 through 7 sequentially. At the end of each section there is a link to a movie as well as to the subsequent section.
PART 1: First International Congress of Nephrology; Nils Alwall and the Alwall kidney.

Broadband Movie: Preparation of the Alwall Kidney
PART 2: Alwall vs. Kolff kidneys; Early Quinton-Scribner shunt.

Broadband Movie: Scribner comments on his shunt
PART 3: Baxter-Travenol system; Bubble trap; First femoral venous catheter access; Daily dialysis; Reuse; Early results; Pressure alarms; Heparin perfusion device; Beginnings of self-care hemodialysis.

Broadband Movie: Self-care hemodialysis
PART 4: Home dialysis; Initial patients; Founding of the EDTA; Kiil Dialysis; Improved safety monitoring; Unattended overnight home dialysis in 1964; Home and Self-dialysis training; Chronic dialysis program; First patients; First outpatient program;

Broadband Movie: Self-care preparation of the Kiil dialyzer
PART 5: Patient training; UK home patients; Brescia-Cimino AV fistula.

Broadband Movie: AV fistula blood pump monitor
PART 6: External blood tubing pressure monitor

Broadband Movie: AV fistula needle set in a Pakistani patient
PART 7: Home dialysis in Germany, Europe, the Middle East, Africa, and Asia; Long-term survivors; Concluding remarks
Parts 1-7: Entire lecture transcript with small slides (no audio)
There is no CME credit available for this talk.
LEARNING OBJECTIVES:
To gain understanding of the early days of dialysis, including dialysis machines, monitoring devices, and vascular access, and to understand how self-care and home hemodialysis was pursued.

SPEAKER DISCLOSURE STATEMENT :
Dr. Shaldon discloses no apparent conflicts of pertaining to the material discussed in this talk.



To gain an understanding of the early days of dialysis, including dialysis machines, monitoring devices, and vascular access, and to understand how self-care and home hemodialysis was pursued.
Stanley Shaldon, MD