The Nephrology, Dialysis and Renal Transplantation Department has always cultivated a specific interest in biochemical-clinical state-of-the-art studies. Years ago, Nephrology still was a very young branch of Medicine and required different and varied exams. Today research and development has advanced the most current diagnostic, medical, and laboratory analysis utilized in Vicenza patient care. Modern techniques are more specific, and accurate if compared to those ones that the Central Laboratory was capable of in the early days. The development of new technologies and the didactic work in many Italian and foreign academic branches took the Department to the use of the most modern therapeutic methodologies, allowing a direct benefit for all those patients afflicted with renal failure.
In 2002 the laboratory was certified ISO 9001 and it adapted to the Department quality project standards. The Laboratory's activity does not substitute the very efficient Hospital's Laboratory but it supports it, especially in kidney diseases' branch, complementing its activity with practical clinical utility and specific research contributions.
In the years, together with clinical and helpful activities, the Nephrology, Dialysis and Renal Transplantation Department has lead a constant and assiduous research activity, thus achieving important results.
Nephrology, Dialysis and Renal Transplantation Department's Laboratories have always carried out, in very close contact with the Division's Doctors, diagnosis' studies, nephrology illnesses' classification, their prognostic factors evaluation and their follow-up. They procure health services in an almost exclusive way to the Department's dialytic treatment patients:
- routine analysis (hemogas-analysis half venous/arterial blood, urea azotemia, 24 hours azoturia, blood calcium total amount, urine chlorine/potassium/sodium, creatinine clearance, urine creatinine, serum creatinine, serum chlorine/potassium/sodium) either for extracorporeal dialytic patients (HD) or for peritoneal dialytic treatment patients (PD);
- urea fractional clearance Kt/V study, assuming it as the uremic toxicity marker, and which presently is the most widespread use-index for the administered dose's prescription and quantification;
- vascular access efficiency in dialytic-measure of hematic circulation R;
- study of the solute transport through the peritoneal membrane with special analysis about the peritoneal dialysate: PET - Peritoneal Equilibration Test: a semiquantitative test for the evaluation of the peritoneal membrane permeability; PFT - Peritoneal Function Test, which was based on the Garred model;
- special urinary analysis: a chemical physical and microscopical urine exam, proteinuria and protein load;
dialytic liquids purity analysis through endotoxin contamination research (LAL Limulus Amebocyte Lysate Test) in order to guarantee the greatest biological and chemical hemodialytic water purity.
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