The Dialysis Unit at Vall d'Hebron University Hospital is a reference centre for four haemodialysis centres managed by DIAVERUM, with an approximate total of 380 patients in haemodialysis.
This Unit is located on the sixth floor of the General Hospital, and currently has eleven haemodialysis stations, with five points in the Positive Unit and six points in the Negative Unit, to offer dialysis for patients with Chronic Kidney Disease (CKD) on haemodialysis (HD) with an ultrapure water plant with double reverse osmosis.
Plans are in place for a redesign of the floor where the Dialysis Unit is located, with 14 haemodialysis stations with beds for chronic patients (approx. 40 patients). This will mean we can admit more patients while offering 2 haemodialysis points for patients with hepatitis B virus.
Portfolio of services
- Haemodialysis of patients with chronic kidney disease.
- High-flow haemodialysis.
- Haemofiltration with endogenous reinfusion.
- On-line haemodiafiltration.
- Treatment for acute kidney failure in the patients mentioned above.
- Intermittent haemodialysis.
- Continuous veno-venous haemodiafiltration techniques
- Treatment of acute renal failure from the various Critical Units; ICU (General Hospital), ICU (Hospital of Traumatology) Resuscitation, Serious Burns, Postoperative Cardiac Surgery Unit and Coronary Unit.
- Peritoneal dialysis. Teledialysis, which allows the monitoring of patients or dysfunctions without requiring their physical presence.
- Plasmapheresis in patients with immunological diseases and rejection using antibodies.
- Leukocytapheresis and patients with chronic inflammatory bowel disease, where indicated (agreed with the Digestive System Department).
- Continuous ultrafiltration of patients with congestive heart failure resistant to treatment with conventional medication (agreed with the Cardiology Department).
- Periodic monitoring of the vascular access using Doppler ultrasound techniques and other non-invasive flow measurement techniques.
- Joint outpatient consultation for Nephrology and Vascular Surgery to assess new vascular accesses or dysfunctional vascular accesses.
- Collaboration with Interventional Angioradiology for rapid diagnosis and treatment of acute vascular access dysfunction.
- Relationships with peripheral haemodialysis centres, of which the Dialysis Unit at Vall d'Hebron University Hospital is a centre of reference.
- Patients are visited once a year by doctors from the Unit.
- Twice-yearly meetings with the medical offices of the dialysis centres, of which we are a reference centre.
- Joint dialysis quality protocols covering: anaemia, osseo-mineral metabolism, dialysis dosage, nutrition, vascular accesses according to the SEN guidelines and Strategic Plan for the Management of Nephrological Patient Care.
- Updates and optimisation of the list of patients on the waiting list for transplant.
Fermín Fernández Álvarez, Porter Coordinator, explains the importance of the role these professionals play in the hospital. After 36 years at Vall d’Hebron, Fermín is a real master of the ways things are done. He says that a porter has to combine humility, discretion and safety with a single goal: that patients receive human and friendly treatment.
The constant search for excellence is part of Hospital Vall d’Hebron’s nature. The biggest hospital in Catalonia and the leader in many fields, headed since February 2015 by Dr. Vicenç Martínez Ibáñez, who has a close personal and professional relationship with the Hospital. Dr. Martínez Ibáñez says that if Vall d’Hebron did not exist, it would need to be invented. The current director trained at the hospital, where he was one of the protagonists of an historic moment: the first paediatric liver transplant in Spain. Now, he is committed to continuing this legacy and, always putting the patient first, achieving excellence across all staff.
The Neonatology Department’s Sibling Project is a workshop for the siblings of new-born babies admitted to the Paediatric Intensive Care Unit in the Vall d’Hebron Maternity and Children's Hospital. Through simulated games and situations, the project prepares them to get used to seeing their younger siblings in a hospital medical setting.
Vall d’Hebron University Hospital’s kitchen serves more than 1,000 meals a day, twice a day, not counting breakfast. A reality that José Parrilla and Carmina Esteban know all too well.From three kitchens to one and from coal to gas. That is how the hospital’s catering service has evolved. A place where the needs of each patient must be taken into account and where there is room for small, juicy anecdotes.
The former head of the Thoracic Surgery Department, Dr. Mercè Canela, recently retired, recalls the important evolution of the Department to become a leader in Spain and a lung transplant pioneer. A task made possible thanks to collaboration with professionals from other departments, an added value in the personal and team environment.
Rosalia Moure arrived at Vall d’Hebron University Hospital in 1967. She spent her entire working life in the linen and laundry department of the Hospital. Rosalia Moure has witnessed the Hospital’s big transformations, from dictatorship to democracy and from analogue to digital systems.
Dr. Josep Sánchez de Toledo Codina, head of the Paediatric Haematology and Oncology Department, tells us about a Department that has laid the foundations for the specialism in Spain. He also remembers the evolution of transplants from haematopoietic stem cells and progenitors, from the beginning, buying the material at a shop in Barcelona city centre, to the more than 1,200 transplants that have now been performed.
Dr. Francesc Bosch, Head of the Haematology Department, talks about the complexity of the Department, which has turned Vall d’Hebron into a reference centre in haematology thanks to its commitment to transplants and the use of new treatments. The Clinical Trials Unit helps a lot, giving access to treatments for complex patients.