Hemodialysis

When kidney function declines, various toxins are no longer excreted. If this “poisoning” (uremia) causes symptoms (such as itching, loss of appetite, fatigue, a tendency to bleed, or shortness of breath), a dialysis procedure must take over the function of the kidneys.

Overview

In hemodialysis, the blood is brought into contact with a dialysate through a membrane. This allows the toxins and fluid to be removed. The therapy must be performed three times a week for about four hours. For most patients, this takes place at a dialysis center, but it can also be arranged as home hemodialysis.

Vascular access is required for effective hemodialysis. Currently, the best access method is a so-called dialysis shunt (a connection between an artery and a vein) created using the patient’s own blood vessels. A plastic container is an alternative. The least favorable option is hemodialysis via a catheter, as it carries a high risk of infection and thrombosis. Since dialysis shunts take time to “mature” before they can be used (about six to eight weeks), such an access must be created in a timely manner to avoid the need for catheters.

Our Assessment and Treatment Options

Eine Ärztin steht bei einer Patientin die gerade eine Dialyse durch macht

At the heart of our work is the comprehensive care for patients requiring renal replacement therapy. If kidney function is no longer sufficient, we help select the dialysis method that best meets the patient’s needs and ensures the greatest possible independence.

Depending on whether you choose hemodialysis or peritoneal dialysis, we will provide the appropriate training.

For chronic dialysis treatment, we have a modern dialysis unit with bright rooms (and a 1:4 nurse-to-patient ratio). We have 13 dialysis stations here, which operate six days a week in two shifts. We also offer an evening shift, which is especially popular among working people. Approximately 8,500 hemodialysis treatments are performed at our center each year.

Collaboration at the USZ

In collaboration with the Department of Angiology, every patient undergoes a duplex ultrasound examination of their blood vessels prior to a scheduled shunt procedure. The shunt procedure is performed by the staff in the Department of Visceral Surgery. An interdisciplinary team of specialists in angiology, surgery, interventional radiology, and nephrology meets every 14 days to discuss complex dialysis access procedures (VAM).

Certified Expertise

Logo zeigt ClarCertZertifizierung für Qualitätsmanagement nach DIN EN ISO 9001:2015. By adhering to the ISO standard, the dialysis unit at the Nephrology Clinic ensures that high quality standards are maintained. Patient safety is our top priority.

Head Team Physician

Marco G. Bonani, PD Dr. med.

Senior Physician, Vice Director of Department, Department of Nephrology

Tel. +41 44 255 33 84
Specialties: , ,

For Patients

As a patient, you cannot schedule a consultation directly. Please ask your family doctor or specialist to refer you.

For Referring Physicians

Simply register your patient online.

 

University Hospital of Zurich
Department of Nephrology
100 Rämistrasse
8091 Zurich

Tel. +41 44 255 35 29
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