Dialysis : HISTORICAL BACKGROUND history 1854, thomas graham first presented the ... dialysis 1948,...
Transcript of Dialysis : HISTORICAL BACKGROUND history 1854, thomas graham first presented the ... dialysis 1948,...
Dialysis :
HISTORICAL BACKGROUND
B. Shaibani MD, PhD
Azzawiyah kidney Center
2018
Proteinuria: a Bad Thing since 400 BC
HEMODIALYSIS
form
History
1854, THOMAS GRAHAM FIRST PRESENTED THE PRINCIPLES OF SOLUTE TRANSPORT ACROSS A SEMIPERMEABLE MEMBRANE
1861, THOMAS GRAHAM COINS THE WORD DIALYSIS
1913, ABEL & ROWNTREE CONSTRUCTED FIRST ARTIFICIAL KIDNEY
History
1924, THE FIRST HEMODIALYSIS IN A HUMAN BEING
BY HASS
1943, KOLFF & BERK FIRST CONSTRUCTED WORKING
DIALYZER & PRACTICAL HEMODIALYSIS MACHINE
1946, NILES ALWALL PRODUCED THE FIRST DIALYZER
1930s by Kolff,
Now , …..
The Invention of IV Fluid Therapy; 1932
Kolff & Berk’s first artificial kidney with blood ran
around a wooden drum of aluminum slats & static open dialysate bath, 1942
History
1946, THE FIRST PATIENT TREATED SUCCESSFULLY BY
DIALYSIS
1948, THE PARALLEL PLATES DIALYZED WAS DEVELOPED,
TILL EARLY 80S WERE USED
1960, AV SHUNT AS DESCRIBED BY QUINTON & SCRIBNER
In 1945, Patient #17, Mrs. Sophie Schafstadt, a 67-year-old woman in uremic coma regained consciousness following 11hrs HD with the dialyzer & lived for another 7 years –The first patient in the world whose life was clearly saved by the artificial kidney
Korean War 1950- Acute Dialysis
1952
Pressure cooker artificial kidney ,1953
Mini II Hemodialysis Machine Mid 1960s
1984
B Braun
I knew that machine !!
The most recent I
know will
it be in Libya
before
2020!!
You know this
Dialysis in Libya Where to …!?
New
New water treatment plant
DoI need to know all of this ..?
Should
I
Insist
on
This ??
Home dialysis , private dialysis is it big deal ..? …when to be available in Libya ??
ZKC 2014
What wentwrong
Dialysis centers in Libya
Dialysis Center, 2014
Beds
Or Chairs
Access for dialysis
Scribner Developed Scribner Shunt, 1960
Teflon Silastic Dialysis Shunt
1966 YearToBe Remembered
Primary AV Fistula
Squeezing a Rubber Ball for Exercise
Do U know that
CRRT
Home Dialysis
The Birth of Home Dialysis
The Birth of Home Dialysis
Home Dialysis, 1972
Home Dialysis
1973 in Jomhuriyah hospital Benghazi1974 in University hosp. Benghazi1974 in Central hosp. Tripoli1975 in Tajoura hosp. Tripoli1978 in Hawari hosp. Benghazi
1980 in Jamil hosp.1983 in Zawia hosp.
......1988 in Zahra hosp.
In 2008 less than 50 centers and units with about 2000 patients 2018 more than 65 centers and units with more than 4200 patients
HEMODIALYSIS IN LIBYA
PERITONEAL DIALYSIS
1887
WEGNER FOUND THAT THE PERITONEAL
SURFACE AREA & THE SKIN SURFACE AREA IN
THE ADULT WERE APPROXIMATELY EQUIVALENT
Georg Ganter was the 1st to Use PD to Treat a woman with Kidney failure 1923
1938
WEAR RECORDED THE FIRST USE OF
SUCCESSFUL PD FOR TREATMENT OF ACUTE
RENAL FAILURE
1946
1948
BLOXSUM & POWELL FIRST REPORTED THE USE
OF PD TO TREAT ACUTE RENAL FAILURE IN
CHILDREN
PD was Initially Used as IPD, Continuous for 1-2 Days/wk
PD Catheters
Early 1950
POLYVINYLCHLORIDE & POLYETHYLENE
PLASTIC TUBES WERE USED
MAXWELL INTRODUCED A NYLON CATHETER
WITH SMALL PERFORATION & CURVED DISTAL
END
Early 1960
TENCKHOFF USED A PERMANENT CATHETER
MADE OF SILICONE RUBBER WITH DARCON CUFF
1961SEGAR FIRST REPORTED THE USE OF
INTERMITTENT PD IN CHILDREN WITH ARF
Automated PD Machine, 1964
Automated cyclic machines appeared in 1960s
Automate PD Cycler
Automate PD Cycler
Automated cyclic PD was the most common form of
PD used in children in 1990s
1977
THE ITALIAN Y SET CANNULAR SYSTEM WAS
INTRODUCED
IT CONNECTS TWO BAGS, ONE WITH FLUID & THE
OTHER FOR DRAINAGE BY GRAVITY
1988*i
ABUDRAA ET AL FIRST USED ACUTE PD FOR
PEDIATRIC PATIENTS WITH ACUTE RENAL
FAILURE IN TRIPOLI
1989
ALFITURI N. ET AL FIRST USED ACUTE PD FOR
ADULTS PATIENTS WITH ACUTE RENAL FAILURE
IN ZAHRA
Feb. 2005
CAPD STARTED IN BENGHAZI, SABRATHA & ALSHAAT
1977
OREOPOCLEN MODIFIED CAPD
HE USED POLYVINYLCHLORIDE BAGS WHICH
CARRIED UNDER-CLOTHS & INCREASED INDWELLING
TIME TO 4 HOURS THEN DRAINAGE INTO SAME BAG
BY GRAVITY
PD is more Flexible
Savewater