Do you target specific Kt/V values or specific duration of hemodialysis sessions for hospitalized patients who you are planning several consecutive and progressive hemodialysis initiation sessions?

We do not target a specific Kt/V, but employ an incremental initiation protocol for new ESRD patients for the first 3 treatments to avoid dysequilibrium syndrome: day 1 - 2 hours at Qb of 200ml/min, Day 2 - 2.5 hour at Qb of 250 and Day 3 - 3 hour at Qb of 300. The treatments are performed daily if an inpatient and on a 3X/wk schedule if initiated as an outpatient. Admittedly, the schedule is fairly arbitrary and probably overly conservative, but our group prefers to err on the side of caution.