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Brain Dialysis (Microdialysis)

I. Clement, Principal, Columbia College of Nursing, Bangalore, Karnataka 560056, India. , I. Clement* , P. Karthikeyaprasath** , Nisha Clement***

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International Journal of Practical Nursing 5(3):p 179-184, Sep-Dec 2017. | DOI: http://dx.doi.org/10.21088/ijpn.2347.7083.5317.8

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Abstract

Brain dialysis or microdialysis is a minimallyinvasive sampling technique that is used for continuous measurement of free, unbound analyte concentrations in the extracellular fluid of virtually any tissue. Analytes may include endogenous molecules (e.g. neurotransmitter, hormones, glucose, etc.) to assess their biochemical functions in the body, or exogenous compounds (e.g. pharmaceuticals) to determine their distribution within the body. The microdialysis technique requires the insertion of a small microdialysis catheter (also referred to as microdialysis probe) into the tissue of interest. The microdialysis probe is designed to mimic a blood capillary and consists of a shaft with a semipermeable hollow fiber membrane at its tip, which is connected to inlet and outlet tubing. The probe is continuously perfused with an aqueous solution (perfusate) that closely resembles the (ionic) composition of the surrounding tissue fluid at a low flow rate of approximately 0.15ìL/ min. Once inserted into the tissue or (body) fluid of interest, small solutes can cross the semipermeable membrane by passive diffusion. The direction of the analyte flow is determined by the respective concentration gradient and allows the usage of microdialysis probes as sampling as well as delivery tools. The solution leaving the probe (dialysate) is collected at certain time intervals for analysis.

Keywords: Brain Dialysis; Microdialysis; Microdialysis Catheter; Microdialysis Probe; Dialysate; Neurotransmitter; Semipermeable Membrane. 

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DOI: http://dx.doi.org/10.21088/ijpn.2347.7083.5317.8

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