On-line Monitoring of the Intravascular Volume during Haemodialysis by Continuous Refractometry

The control of intravascular volume (IVV) by continuous on-line measurement of protein concentration would optimise the patients’ specific rate of ultrafiltration.

To prove the accuracy of a refractometric device, plasma was continuously drawn by haemofiltration during 10 haemodialysis treatments of male patients. Refractometry reflects highly significant changes in the concentrations of filtrate proteins (r = 0.862, p < 0.001) and blood proteins (rtotal = 0.593, ptotal < 0.001). In vitro, the refractometric device detected a change of protein concentration of 0.041 g/L through a refraction increase of 0.1 mV. The power of discrimination was 0.067 % of IVV. However, in vivo, the accuracy of IVV refractometric monitoring is reduced by interference factors such as sodium (0.141 mV/mmol/L), glucose (0.034 mV/mg/dl) and triglycerides (–0.040 mV/mg/dl). Adjustment of the refraction data using sodium and glucose electrodes and plasma filters with a cutoff below the size of chylomicrons is recommended.

Transition from ballistic to electrodiffusive transport in free-standing nanometer-sized polymer membranes

The transition from ballistic to electrodiffusive transport of ions through thin polymer membranes has been investigated by recording single transport events via time-correlated single-particle detection. At the highest kinetic energies investigated, ballistic transport of potassium ions is observed with no discernible energy loss to the membrane. At the lowest kinetic energies investigated (several 100 eV) ions are demonstrated to lose the entire kinetic energy to the membrane. Transport there occurs by electrodiffusion. A transition regime is observed. The transition energy is shown to depend on the thickness of the membrane.