KHA-CARI guideline: dialysis adequacy (haemodialysis): dialysis membranes.

GUIDELINE RECOMMENDATIONS • We recommend that either synthetic or cellulosic membranes be used for symptomatic intra-dialytic hypotension as synthetic membranes offer no benefit over cellulosic membranes (1C). • We recommend that high-flux membranes be used to remove molecules such as beta-2 microglobulin because they have been shown to achieve lower serum levels (1A). • We suggest there are possible survival benefits from high-flux membranes for some groups such as those on dialysis for more than 3.7 years, those with a serum albumin below 40 g/L and diabetics (1A).