Employing L-Lactic Acid Powder in the Preparation of a Dry “Acid Concentrate” for use in a Bicarbonate-Based Dialysis Solution-Generating System: Experience in Hemodialysis Patients

Abstract

By replacing the liquid acetic acid present in the “acid concentrate” of a bicarbonate-based dialysis solution-generating system with an equimolar amount of solid L-lactic acid and by using the dry forms of the remaining constituents, we were able to create a dry “acid concentrate” just prior to use, and successfully employed this “acid concentrate” to produce a bicarbonate-based solution to hemodialyze patients.