Renal Dialysis Centre | Hong Kong Sanatorium & Hospital
Renal Dialysis Centre

Renal Dialysis Centre

About Us

Renal Dialysis CentreEnd-stage renal disease (ESRD) is a chronic disease which requires patients to receive ongoing treatment for kidney failure. Haemodialysis (HD) and peritoneal dialysis (PD) are the most common treatments for patients suffering from ESRD to sustain kidney functions.

Established in 1983, the Renal Dialysis Centre has been providing comprehensive and high quality dialysis therapy and support services to ESRD patients. The Centre accepts referrals from doctors and overseas patients during their stay in Hong Kong. (click here to download Referral Form)

Managed by a well-coordinated health care team of Nephrologists and certified Renal Nurses, the Centre adheres to the highest standard of sanitary conditions and quality assurance protocols. The Centre is committed to acquiring the advanced equipment and new pharmaceutical products to achieve the best possible treatment outcome for patients and improving their quality of life.


About Haemodialysis arrow
Haemodialysis is a method of treatment for ESRD patients. It allows the blood of a patient to flow from the body via a vascular access into a machine with a haemodialyzer, which can remove body wastes and excess body fluids. The clean blood is then returned to the body via the vascular access.

To control blood pressure and maintain a proper balance of electrolytes in the body, the patient is required to follow a rigid schedule to undergo dialysis two or three times a week. Each visit takes four hours or more. During dialysis, the patient still can perform activities such as reading, sleeping and watching TV.


About Peritoneal Dialysisarrow
Peritoneal dialysis is another method of treatment for ESRD patients. It eliminates body wastes and removes excess body fluid by introducing high concentration of glucose dialysis solution into the peritoneal (abdominal) cavity via a plastic tube (catheter). By means of osmosis and diffusion, the patient’s body wastes and excess body fluids will be drawn from the tiny blood vessels in the peritoneal membrane into the peritoneal cavity. The catheter then drains out the fluids together with the waste products from the body.

Our Services

Renal Dialysis Centre

All nursing staff of our centre are trained and certified as Renal Nurses to take care of ESRD patents. Our centre has 13 beds each equipped with the advanced equipment to ensure the providing of safe and effective therapy. Additionally, our centre also provides training of peritoneal dialysis and supporting for peritoneal dialysis service on an inpatient.

Haemodialysis Therapy
  • Advantages of Haemodialysis
    Patients are attended by trained professionals. Nephrologists may order a prescription for haemodialysis and certified Renal Nurses closely monitor the patient throughout the haemodialysis procedure.

    The Centre also provides a safe and comfortable environment for patients receiving haemodialysis in adherence to the highest sanitary conditions and quality assurance protocols.
  • Prepare for Haemodialysis
    A vascular access is prepared on the body by an operation procedure using local anaesthesia. There are three kinds of vascular access: arteriovenous fistula, Gortex graft and venous catheter. Generally, it takes several weeks or months for a permanent vascular access (except venous catheter) to develop before it is ready to be used. The Centre provides comprehensive training to teach patients to understand on how haemodialysis works and how to protect the vascular access and prevent related complications.
  • Equipment
    5008S/5008 Advanced Therapy System (Fresenius Medical Care, Germany)
    Features:
    • Online Clearance Monitor
      An effective quality assurance tool to monitor the delivery of dialysis dose
    • Blood Volume Monitor
      Automatically monitors and controls blood volume response to ultrafiltration and assists dry weight determination
    • Online HDF
      Currently acknowledged as the most effective dialysis treatment modality that comes closest to the elimination profile of the natural kidney
    • Blood Temperature Monitor
      Stabilises cardiovascular response to haemodialysis and ultrafiltration and monitors vascular access
    • Emergency button for quick response in case of emergency

    Aquaboss Reverse Osmosis Water Treatment System
    Features:
    • Twin-passing Reverse Osmosis (RO) System to provide ultrapure and safe water for dialysis
    • Reliable backup system to continue treatment in case of breakdown without immediate shutdown
    • Autosanitation by eliminating dead space and impulse back-washing
    • Fluid circuit is constructed in stainless steel which provides high durability and reduces risk of microbiological contamination and corrosion
    • Auto-detector of water leakage

Tests for Haemodialysis
To assess the haemodialysis dose and adequacy, tests using the following formulas will be performed once a month to see whether the treatments are removing enough wastes:

  • URR, which stands for urea reduction ratio, is one measure of how effectively and adequately a dialysis treatment removed waste products from the body. It represents the reduction in urea as a result of dialysis.
  • Kt/V is another measure of dialysis adequacy. K stands for the dialyzer clearance, expressed in milliliters per minute (mL/min), t stands for time and V represents the volume of distribution of urea.

Online Haemodiafiltration
Online Haemodiafiltration is a special mode of ESRD treatment, combining advantages of haemodialysis and haemofiltration, i.e. high elimination rates for small and large molecular weight substances via diffusive and convective mechanisms, respectively.

Plasmapheresis
Plasmapheresis is a process to remove disease-causing protein molecules (e.g. antibodies) in the blood. During plasmapheresis, the fluid part of the blood, called plasma, is separated from blood cells by passing it through a filter (plasmafiltre). The plasma removed is then replaced with plasma free of disease-causing protein or albumin.

Peritoneal Dialysis Therapy
  • Advantages of Peritoneal Dialysis (PD)
    PD is a daily continuous treatment that maintains the body at a relatively stable and equilibrium state. Diet and fluid restriction in PD patients is therefore less than in haemodialysis (HD) patients. Besides, PD patients can perform the PD at home, so they are not required to visit the hospital so often, with minimal disturbance to their daily lives.
  • Prepare for Peritoneal Dialysis
    A Tenckhoff catheter is introduced into the peritoneal cavity by a simple operation procedure using local anaesthesia. After the operation, the Patients are required to stay in hospital for receiving PD intermittently for about four weeks to allow the wound to heal. In preparing patients to perform PD at home, the Centre provides a 5-day comprehensive training on an inpatient basis. The training includes the procedures of PD solution exchange, catheter and exit site care as well as how to handle problems relating to dialysis and its complications.
  • Therapy Modes of Peritoneal Dialysis
    There are several therapy modes of PD depending on the lifestyle and health needs of patients.

    • Automated Peritoneal Dialysis (APD)
      Solution exchanges can be automatically done, usually at night, by using a PD machine according to a preset programme.
      Equipment
      HomeChoice PRO Automated Peritoneal Dialysis System (Baxter Healthcare)
    • Continuous Ambulatory Peritoneal Dialysis (CAPD)
      A continuous 24-hour method, which requires patients to perform solution exchanges 3 or 4 times a day.
    • Intermittent Peritoneal Dialysis (IPD)
      PD is mainly a home therapy. Patients may receive PD intermittently in the hospital under special circumstances.

Tests for Peritoneal Dialysis
To assess the PD dose and adequacy, the following tests will be performed regularly to check the feature of the peritoneal membrane and to see whether if the treatments are removing enough wastes:

Peritoneal Equilibration Test (PET) is used to test the peritoneal membrane viability as the peritoneal transport rate varies from person to person. PET measures how much glucose has been absorbed from a bag of infused dialysis solution and how much urea and creatinine have entered into the solution during a 4-hour exchange.

Clearance tests including a urea clearance test (Kt/V) and a creatinine clearance test are used to test for PD adequacy. An increase in frequency of dialysis exchange or a change in dwell time may be needed to ensure that the blood is cleaned efficiently.

For the patients from Hospital Authority Hospitals
Since October 2004, the Centre has reached an agreement with the Hospital Authority (HA) to perform insertion of Tenckhoff catheter, creation of arteriovenous fistula or Gortex graft for patients from HA hospitals at an agreed charge which is lower than the usual charge. For obtaining this service, these patients need to be referred by HA doctors.

Renal Nursing Care and Clinical Support
Follow-up nursing care or nursing support is available for patients who may encounter problems during dialysis. Advice on diet, access care and prevention of complications are also provided.

Contact Us
For enquiries and appointments, please contact us at:
 
Renal Dialysis Centre
Address:16/F, Li Shu Pui Block
Hong Kong Sanatorium & Hospital
2 Village Road, Happy Valley, Hong Kong
Tel: 2835 8926
Fax:2892 7524
Email:rdc@hksh-hospital.com
Service Hours
Monday to Saturday: 7:00am - 8:00pm
Opened on Public Holidays
Closed on Sundays