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Hemofiltration Hemofiltration is a similar treatment to hemodialysis, but in this case, the membrane is far more porous and allows the passage of a much larger quantity of water and solutes to pass across it. The fluid which passes across the membrane (the filtrate) is discarded and the remaining blood in the circuit has its desired solutes and fluid volume replaced by the addition of a special hemofiltration fluid. It is a slow continuous therapy with sessions typically lasting 12-24 hours, usually daily. This, and the fact that ultrafiltration is very slow and thus gentle, makes it ideal for patients in intensive care units, where acute renal failure is common. A combination of hemofiltration and hemodialysis, called hemodiafiltration (incorporating a hemofilter to a standard hemodialysis circuit), is being used in some centres for chronic maintenance therapy.
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