In hospitalized patients with ESKD who develop mechanical hemolysis from high-velocity dialysis, what is your approach to balancing lower ultrafiltration rates to mitigate hemolysis while also optimizing inpatient length of stay and volume management?

To compensate for the lower ultrafiltration rate, I would prolong the dialysis session time. For example, the standard 3-4 hour inpatient dialysis sessions can be extended to 5-6 hours. This lowers the hourly ultrafiltration rate while achieving the same total fluid loss per treatment. I would also ...