Fluid and toxin removal with more frequent nocturnal HHD is closer to that of a healthy kidney, which works 24 hours a day, 7 days a week. With these extended treatments, you may experience less toxin and fluid build-up, have shorter post-dialysis recovery time after treatment, and have more energy.

Nocturnal HHD requires a care partner to be present during therapy. Both the patient and care partner sleep during therapy. You and your care partner will receive thorough training before transitioning to nocturnal treatments.

You don't have to give up your days to dialysis. Maggie chose nocturnal home hemodialysis and now she has had her days free to do what she loves.

If you are new to HHD and are considering nocturnal therapy, speak with your care team about starting more frequent hemodialysis treatments, at home, during the day for a period of time. Once you are comfortable with performing your treatments at home, it is usually possible for you and your care partner to return to the clinic to receive additional training for nocturnal treatments. This usually takes 4-5 additional days and includes education on the following:

If you and your doctor decide switching to nocturnal dialysis is a good option, you will receive a prescription for the therapy, and you and your care partner (if applicable) will be trained to perform overnight treatments at home. Training includes instruction on setting up and operating the machine, sleeping comfortably and safely while dialyzing, identifying and troubleshooting alarms, and other information unique to home nocturnal HHD process.

Will I be able to sleep during nocturnal dialysis? Like most shifts in medical treatment, nocturnal dialysis may have an adjustment period. It can take time for your body to adjust to sleeping while performing therapy. Over time, however, many patients are able to sleep comfortably through the night with few complications. For additional considerations see below.

What if my machine alarms? The training you receive from you nurse will help prepare you to handle common machine alarms at home. In many cases, an alarm can be identified by the patient, and the problem rectified using prompts on your cycler screen and by referencing the user guide. Should you or your care partner need additional assistance, you can call technical or customer support and they will help troubleshoot.

NxStage Medical, Inc. is a leading medical technology company, headquartered in Lawrence, Massachusetts, USA, that develops, manufactures and markets innovative products for the treatment of end-stage renal disease (ESRD) and acute kidney failure. NxStage also has established a small number of dialysis clinics committed to the development of innovative care delivery models for patients with ESRD. Read more…

While daytime HHD sessions typically last 3 to 4 hours nocturnal therapy sessions are usually 6-8 hours in duration. Nocturnal HHD treatments are also generally performed 4-6 times per week (all treatment times will vary depending on your prescription).

While some dialysis centers offer nocturnal dialysis within the clinic, here we will discuss the two types of nocturnal dialysis therapies available within your home – Home Hemodialysis (HHD) and Automated Peritoneal Dialysis (APD), also known as Continuous Cycling Peritoneal Dialysis (CCPD).

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Nocturnal Dialysis (sometimes referred to as overnight dialysis), is, simply put, dialysis therapy that is performed overnight while you sleep.

Who is a candidate for nocturnal dialysis? Ultimately this decision will be made by you and your doctor after discussing your therapy options and the many aspects of performing dialysis. You and your doctor will ensure that you are physically able to administer therapy and that you complete the required training.

Defender Medical Supply is a veteran-owned wholesale medical supply company based in Aurora, Illinois. Founded by a United States Army veteran, the company has a mission to provide high-quality medical supplies at competitive prices to medical professionals, hospitals, clinics, and first responders.

To contact NxStage call 1-866-NXSTAGE. To speak with a Patient Consultant about home therapies call 1-888-200-6456 or text INFO to 1-844-620-2267.

Nocturnal HHD uses a hemodialysis machine in your home to accomplish similar treatment goals as daytime hemodialysis (including removing excess waste and toxins from your blood) but it is done overnight, while you and your care partner are asleep.

Fresenius Medical Care has successfully completed its merger with NxStage Medical Inc. By strengthening our vertically integrated dialysis business, the merger supports our initiative of driving growth in the core business with innovation, better clinical outcomes through Care Coordination and improving the patient experience. For information about NxStage products and services please continue to use this website. To learn more about Fresenius Medical Care and the merger, visit the links provided.

As a veteran-owned business, Defender Medical Supply is committed to upholding the values of integrity, dedication, and service to others that are ingrained in the military ethos. The company takes pride in its ability to provide reliable, efficient, and cost-effective medical supplies to those who are on the front lines of healthcare and public safety.

Peritoneal dialysis does involve some risks that may be related to the patient, center, or equipment. These include, but are not limited to, infectious complications. Examples of infectious complications include peritonitis and exit-site and tunnel infections. Non-infectious complications include catheter complication such as migration and obstruction, peritoneal leaks, constipation, hemoperitoneum, hydrothorax, increased intraperitoneal volume, and respiratory and gastric issues. It is important for healthcare providers to monitor patient prescriptions and achievement of adequate fluid management goals.

What will I need to start nocturnal dialysis therapy? Once you have a prescription for therapy and have been trained you will need the following.

CAPD typically requires a patient to perform 3-5 manual treatments throughout the day. Exchanges last from 20 to 30 minutes each. APD typically takes place over a single, extended treatment period while you sleep, and can negate the need for manual filling and draining.

Patients should review the following information carefully and discuss it with their doctors to decide whether home hemodialysis with NxStage systems is right for them.

The NxStage systems are the only hemodialysis machines in the United States cleared by the FDA for nocturnal home hemodialysis treatments.

The decision to do nocturnal home dialysis is a big step and one that requires a discussion with your doctor. Whether you choose nocturnal HHD or nocturnal PD, training is required and there will be adjustments to the time, place, and process of dialyzing. Understandably, some patients are hesitant to change their chosen therapy, as it comes with adjustments, additional training, and a bit of uncertainty. However, nocturnal home dialysis may offer you many clinical and lifestyle benefits over traditional daytime and/or in-center dialysis.

Peritoneal dialysis uses blood vessels in the lining of your peritoneal cavity, called the peritoneum, to filter and clean your blood. When you perform APD, PD solution is infused into your peritoneal (abdominal) cavity using a cycler, overnight while you sleep. The PD solution then absorbs waste, toxins and excess fluid from your blood, which are removed when the dialysate is drained. In the morning, the cycler can leave you dry or do a Last Fill that allows you to also dwell during the day.