Standardization of Nomenclature for the Mechanisms and Materials Utilized for Extracorporeal Blood Purification

Thiago Reis; Claudio Ronco; Danielle E Soranno; William Clark; Silvia De Rosa; Lui G Forni; Anna Lorenzin; Zaccaria Ricci; Gianluca Villa; John A Kellum; Ravindra Mehta; Mitchell H Rosner; Nomenclature Standardization Faculty

doi:10.1159/000533330

Standardization of Nomenclature for the Mechanisms and Materials Utilized for Extracorporeal Blood Purification

Blood Purif. 2023 Sep 13:1-14. doi: 10.1159/000533330. Online ahead of print.

Authors

Thiago Reis^{1

2

3}, Claudio Ronco^{4

5

6}, Danielle E Soranno⁷, William Clark^{8

9}, Silvia De Rosa^{10

11}, Lui G Forni^{12

13}, Anna Lorenzin^{4

5}, Zaccaria Ricci^{14

15}, Gianluca Villa^{14

16}, John A Kellum¹⁷, Ravindra Mehta¹⁸, Mitchell H Rosner¹⁹; Nomenclature Standardization Faculty

Collaborators

Nomenclature Standardization Faculty:
Marlies Ostermann²⁰, Ghada Ankawi²¹, Vincenzo Cantaluppi²², Rajasekara Chakravarthi Madarasu²³, Kristin Dolan²⁴, Faeq Husain-Syed²⁵, Kianoush Kashani²⁶, John R Prowle²⁷, Thomas Rimmelé²⁸, Alexander Zarbock²⁹, Bjorn Meijers³⁰, Almudena Vega³¹, Laurent Juillard³², Hideki Kawanishi³³, Alexander H Kirsch³⁴, Francisco Maduell³⁵, Ziad A Massy³⁶, Sandip Mitra³⁷, Raymond Vanholder³⁸, Mario Cozzolino³⁹, Ravindra Mehta⁴⁰

Affiliations

¹ Department of Nephrology and Kidney Transplantation, Fenix Group, São Paulo, Brazil.
² Laboratory of Molecular Pharmacology, University of Brasília, Brasília, Brazil.
³ Division of Nephrology, Syrian-Lebanese Hospital, São Paulo, Brazil.
⁴ International Renal Research Institute of Vicenza (IRRIV), Vicenza, Italy.
⁵ Department of Nephrology, Dialysis and Kidney Transplantation, San Bortolo Hospital, Vicenza, Italy.
⁶ Department of Medicine (DIMED), Università degli Studi di Padova, Padua, Italy.
⁷ Section of Nephrology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
⁸ Davidson School of Chemical Engineering, Purdue University College of Engineering, West Lafayette, Indiana, USA.
⁹ Indiana University School of Medicine, Indianapolis, Indiana, USA.
¹⁰ Centre for Medical Sciences - CISMed, University of Trento, Trento, Italy.
¹¹ Anesthesia and Intensive Care, Santa Chiara Regional Hospital, APSS, Trento, Italy.
¹² Department of Critical Care, Royal Surrey Hospital Foundation Trust, Guildford, UK.
¹³ Faculty of Health Sciences, University of Surrey, Guildford, UK.
¹⁴ Department of Health Sciences, Section of Anesthesia, Intensive Care and Pain Medicine, University of Florence, Florence, Italy.
¹⁵ Pediatric Intensive Care Unit, Meyer Children's Hospital, Florence, Italy.
¹⁶ Department of Anesthesia and Intensive Care, Section of Pain Therapy and Palliative Care, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
¹⁷ Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
¹⁸ Department of Medicine, University of California San Diego, San Diego, California, USA.
¹⁹ Department of Medicine, University of Virginia Health, Charlottesville, Virginia, USA.
²⁰ Department of Critical Care, King's College London, London, UK.
²¹ Department of Medicine, Division of Nephrology, King Abdulaziz University, Jaddah,Saudi Arabia.
²² Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy.
²³ Department of Nephrology, Renown Clinical Services, India.
²⁴ Department of Pediatrics, Mercy Children's Hospital Kansas City, Kansas City, MO, USA.
²⁵ Department of Internal Medicine II, University Hospital Giessen and Marburg, Justus-Liebig-University Giessen, Giessen, Germany.
²⁶ Division of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
²⁷ Critical Care and Perioperative Medicine Research Group, William Harvey Research Institute, Queen Mary University of London, London, UK.
²⁸ Department of Anesthesiology and Critical Care Medicine, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
²⁹ Department of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.
³⁰ Laboratory of Nephrology, KU Leuven, Leuven, Belgium.
³¹ Department of Nephrology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
³² University of Lyon, Hôpital Edouard Herriot, Lyon, France.
³³ Tsuchiya General Hospital, Hiroshima, Japan.
³⁴ Medical University of Graz, Graz, Austria.
³⁵ Department of Nephrology, Hospital Clínic de Barcelona, Barcelona, Spain.
³⁶ Ambroise Paré University Hospital, Paris, France.
³⁷ Manchester Royal Infirmary, Manchester, UK.
³⁸ Nephrology Section, Department of Internal Medicine and Pediatrics, University Hospital Ghent, Ghent, Belgium.
³⁹ Department of Health Sciences, University of Milan, Italy.
⁴⁰ Department of Medicine, University of California San Diego, San Diego, CA, USA.

PMID: 37703868
DOI: 10.1159/000533330

Abstract

In order to develop a standardized nomenclature for the mechanisms and materials utilized during extracorporeal blood purification, a consensus expert conference was convened in November 2022. Standardized nomenclature serves as a common language for reporting research findings, new device development, and education. It is also critically important to support patient safety, allow comparisons between techniques, materials, and devices, and be essential for defining and naming innovative technologies and classifying devices for regulatory approval. The multidisciplinary conference developed detailed descriptions of the performance characteristics of devices (membranes, filters, and sorbents), solute and fluid transport mechanisms, flow parameters, and methods of treatment evaluation. In addition, nomenclature for adsorptive blood purification techniques was proposed. This report summarizes these activities and highlights the need for standardization of nomenclature in the future to harmonize research, education, and innovation in extracorporeal blood purification therapies.

Keywords: Clearance; Dialysis; Filtration; Flux; Membrane characteristics; Renal replacement therapy.

Publication types

Practice Guideline