Our preliminary studies have demonstrated that an innovative new design of the hemodialysis venous needle (the needle that returns the cleaned blood from the hemodialysis filter to the patient) with three jets is superior to the standard venous needle because it decreases the velocity and turbulence of the blood when compared with the standard venous needle, it is more efficient in the removal of toxins from the blood, and it is safe and effective. More importantly, our preliminary studies suggested that the new needle causes less damage to the dialysis vascular access and to circulating blood cells and less inflammation and oxidative stress. These will decrease medical complications, the high cost of care and death in dialysis patients. The current study will corroborate the finding of previous studies.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
Hemodialysis using the standard venous dialysis needle
Hemodialysis using a new venous dialysis needle or the "BME needle"
One hemodialysis using a new venous needle, the "BME needle"
One hemodialysis using the standard venous needle
DaVita K Street Dialysis Center
Washington D.C., District of Columbia, United States
RECRUITINGNet change in intracellular oxidative stress and intracellular proinflammatory cytokines levels
The net change in the levels of intracellular IL-6, IL-6 soluble receptor, IL-6 gp130, superoxide, H2O2 and IL-1 during dialysis (difference between pre and post dialysis) using the new venous needle will be compared with the change using the current venous needle.
Time frame: 4 hours of hemodialysis
Net change in oxidative stress and proinflammatory cytokines in plasma
The net change in the plasma levels of IL-1, IL-6, MDA and AOPP during dialysis (difference between pre and post dialysis) using the new venous needle will be compared with the net change that occurs in patients using the current venous needle
Time frame: 4 hours hemodialysis
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