The aim of the course is to show students how to replace the function of essential organs such as the kidneys, allowing patients to live for a long time with a good quality of life. At the end of the course students will have a good knowledge of the principles and technique that govern dialysis, and the different types of dialysis. They will know all the major complications and how to avoid or treat them. They will have knowledge of kidney transplantation and the drugs used to avoid rejection
Course Prerequisites
In order to follow the course it is necessary to have basic knowledge of the anatomy and physiology of the kidney
Teaching Methods
The course will consist of lectures interspersed with interactive clinical cases in which the student will be invited to answer the teacher's questions and express their opinion. There will be surveys to evaluate the level of learning during the lessons. At the end of the course, students will be invited to visit the dialysis center where they will be able to see the application of the theory learned during the series of seminars. The teacher will distribute works and reviews on the main innovations in the field of dialysis and transplantation and will discuss them with the students during the lessons
Assessment Methods
Learning will be evaluated at the end of the course with a test with 30 multiple choice questions. The test will be passed if the student correctly answers at least 18 questions. In subsequent sessions the exam will be oral
Texts
HANDBOOK OF DIALYSIS THERAPY. 6th Edition Edited by Allen R. Nissenson, MD, Richard N. Fine, MD, Rajnish Mehrotra, MD, MS and Joshua Zaritsky, MD, PhD
Contents
Notes on anatomy and physiology. Measurement of renal function and urine examination. Depurative and endocrine function of the kidneys. Nephrotic syndrome and nephritic syndrome. Acute kidney injury. Chronic kidney disease. Complications and treatment. Extracorporeal dialysis in patients with acute kidney injury and in patients with renal disease terminal chronic disease. Vascular access, principles of dialysis; dialysis membranes; blood flow and dialysate flow; anticoagulant treatment in dialysis. Complications of extracorporeal dialysis: venous aneurysms, thrombosis, intradialytic hypotension, cardiovascular events. Buttonhole technique. Extracorporeal dialysis techniques: bicarbonate dialysis, haemofiltration, haemodiafiltration, paired filtration dialysis, HFR, daily home dialysis. Dialysis adequacy, Kt/V, URR. Continuous dialysis in the critically ill patient, SLEDD. Preparation of water for dialysis, reverse osmosis. Peritoneal dialysis: indications and contraindications. Peritoneal dialysis technique; manual and automated dialysis. Complications of peritoneal dialysis. Control of extracellular volume in peritoneal dialysis. malnutrition in peritoneal dialysis. Deceased donor and living donor transplant. Transplant from a non-beating heart donor. Delayed Graft Function and its prevention. T Prophylaxis of acute rejection. Induction and maintenance therapy. Diagnosis of acute rejection. Main complications of kidney transplant.