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  • Nephrology
Nephrology

Nephrology

Nephrology

The Nephrology · Dialysis · Transplantation provides hospital and outpatient care for patients with acute or chronic kidney disease, transplantation and dialysis in all its modalities.

The service has a research and teaching activity.

The Nephrology · Dialysis · Transplantation provides hospital and outpatient care for patients with acute or chronic kidney disease, transplantation and dialysis in all its modalities.

The service has a research and teaching activity.

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    Nephrology

    Pr Thierry Lobbedez, Pr Valérie Chatelet, Dr Clémence Béchade, Dr Nicolas Bouvier, Dr Nicolas Gautier, Dr Annabel Boyer, Dr Eve Calvar, Dr Maxence Ficheux, Dr Patrick Henri, Dr Victor Gueutin, Dr Antoine Lanot
    Consultation schedule

    Joining the Kidney Transplant Waiting List

    Pr Valérie Chatelet, Dr Nicolas Bouvier, Dr Eve Calvar

    Kidney transplant follow-up

    Pr Thierry Lobbedez, Pr Valérie Chatelet, Dr Clémence Béchade, Dr Nicolas Bouvier, Dr Nicolas Gautier, Dr Annabel Boyer, Dr Eve Calvar, Dr Maxence Ficheux, Dr Patrick Henri, Dr Victor Gueutin, Dr Antoine Lanot

    Peritoneal dialysis

    Pr Thierry Lobbedez, Dr Clémence Béchade, Dr Annabel Boyer, Dr Antoine Lanot, Dr Maxence Ficheux

    Hemodialysis

    Dr Patrick Henri, Dr Maxence Ficheux, Dr Nicolas Gautier

    Onco-nephrology

    Dr. Victor Gueutin

    Approach to Chronic Kidney Disease

    Ludivine Videloup

    Presentation of extra-renal purification techniques

    Ludivine Videloup

    Approach to Kidney Transplantation

    Ludivine Pollaert

    Dietetic

    Laura Brien

    Psychological consultation for patients and relatives

    Sandrine Letrecher

    Renal lithiasis consultation

    Dr Nicolas Gautier
    Consultation schedule

      Composition of service

      The Caen Normandy University Hospital Nephrology medical team has organized itself into a Regional Nephrology Medical Team headquartered at the University Hospital.
      The medical team works in collaboration with the nursing teams (health executives, advanced practice nurse, nurses, nursing assistants, paramedics) and the administrative management teams of the three partners, which are the CHU of Caen, the CH of Flers and the ANIDER .

      • 1 University Professor · Hospital Practitioner
      • 1 Associate Professor Hospital Practitioner
      • 1 University Lecturer · Hospital Practitioner
      • 9 Hospital Practitioners
      • 3 health executives
      • 1 Advanced Practice Nurse
      • 1 Nurse Coordinator
      • 1 dietitian
      • 1 Psychologist
      Team detail
    • Patient information

      frequently asked Questions

      What is kidney failure?

      The kidneys are located in the abdomen. These are two filters, in which the blood passes day and night, which creates the urine which flows into the bladder. The human body thus eliminates the various molecules, toxins and drugs that are absorbed throughout the day.

      Kidney failure corresponds to a clogging of these two filters, resulting in an accumulation of toxins which, in the long term, can be responsible for various symptoms, some of which can, in serious cases, lead to death.

      How to detect kidney disease?

      The diagnosis of kidney disease can be made either:

      • through a blood test , which may show an accumulation of toxins
      • by urine analysis using a urine dipstick, which may show the abnormal presence of protein and/or microscopic blood.
      • by renal ultrasound which can show an anomaly of the kidneys and/or the good flow of urine towards the bladder.

      What is renal replacement therapy?

      Extra-renal purification corresponds to the implementation of a treatment which takes over the role of the two diseased kidneys. Currently, it is possible to offer a kidney transplant or dialysis .

      The implementation of these treatments is done through an apprenticeship and training that the doctors carry out in coordination with the nurses over a series of consultations.

      The dangers of kidney failure

      It should be remembered that if the filters of the human body are clogged, molecules will accumulate in the blood and then cause symptoms. In the event of advanced renal failure, the main molecules responsible for symptoms are:

      • Sodium , corresponding to table salt which is in crystal form. Once in the blood, the salt dissolves and does not return to its crystal form. If the kidneys are no longer able to eliminate the salt eaten, the latter will be stored and retain water with it. This will cause various symptoms such as high blood pressure , edema , weight gain , unusual shortness of breath especially when lying down. In the event of excessive hydrosodic retention, respiratory distress appears in connection with acute pulmonary edema requiring emergency hospitalization.
      • Potassium is a molecule involved in nerve conduction allowing the muscles of the body to contract. Its accumulation in the blood will cause a blockage of this muscle contraction. This results in a loss of muscle strength which can manifest itself by an inability to stand up, but above all a blockage of the contraction of the heart muscle leading to cardiac arrest in severe forms. A high potassium level in the blood requires emergency hospitalization.
      • Uremic toxins, which represent all the cellular waste produced by the body every day. Their accumulation can cause: itching, excessive fatigue, loss of appetite and weight loss. We speak of uremic syndrome, the human body then draws on its reserves until it is exhausted.
      • Medications , since some are mainly eliminated through the urine. Their accumulation causes overdose symptoms. Note especially painkillers (except paracetamol) , sleeping pills, some anti-diabetics and some antibiotics.

       

      What is dialysis?

      Dialysis is an extra-renal purification treatment where toxins are extracted thanks to contact between the patient's blood and a liquid called dialysate. The toxins will pass from the blood to the dialysate via a membrane. It is possible to carry out this exchange using two techniques:

      1. Hemodialysis. With this technique, the exchanges between the blood and the dialysate take place via an extracorporeal circuit. The blood leaves the body to be purified in a machine, then returns to the body. This method of dialysis can be practiced independently at home or in a hemodialysis center, day or night. To be able to carry out this hemodialysis, it is necessary to create an arteriovenous fistula or to place a dialysis catheter in the neck.
      2. Peritoneal dialysis. With this technique, the exchanges between the blood and the dialysate take place in the human body. The dialysate is infused in the belly using a catheter, it will then be loaded with toxins present in the blood, then it is drained towards the outside of the belly. This method of dialysis is practiced at home, day or night. It is necessary to set up a peritoneal dialysis catheter to be able to perform this technique.

       

      info-renal-transplant-NEP46

      info-renal-transplant-NEP46

      • Supported

        Service organization

        The University Center for Kidney Diseases hosts the following activities:

        • consultation
        • day hospitalization
        • dialysis and extracorporeal therapies
        • and patient education

        Level 21 of the Côte de Nacre Tower · unit 30
        Composed of 16 beds, this unit provides care for nephrology patients in conventional hospitalization

        Level 16 of the Côte de Nacre Tower · unit 20
        Composed of 6 beds, this unit provides care for nephrology patients in the continuous monitoring sector, benefiting from a kidney transplant and acute kidney failure.

        External activities agreed:

        • With the Center Hospitalier de Flers
          Within the hospital of Flers, the service provides daily nephrology consultation, follow-up of dialysis patients as well as assistance in the care of hospitalized patients
        • With the various ANIDER dialysis centers
          Hérouville, Bayeux, Équemauville, Argentan, Flers
        Clinical activities

        Management of chronic kidney disease:

        • Etiological assessment, renal biopsy puncture
        • Implementation of nephroprotective treatment
        • Management of high blood pressure
        • Prevention and therapeutic education
        • Exploration and management of stone disease

        Accompaniment, training, initiation and follow-up of extra-renal purification treatments:

        • Help with orientation to the different therapeutic options:
          • Home dialysis: peritoneal dialysis / low-flow dialysate hemodialysis
          • Hemodialysis (in center or off center)
          • Kidney transplant
          • Conservative treatment, follow-up without dialysis

        Permanence of care for patients with kidney disease within the CHU and the territory 24 hours a day, 7 days a week

        • Senior medical opinions
        • Emergency hemodialysis
        • Kidney transplant
        • Direct hospitalization

        Hospital management of nephrology patients 

        • Acute renal failure
        • Complications of Chronic Kidney Disease, Dialysis and Kidney Transplantation
        • Kidney biopsy puncture
        • Immediate post-transplant follow-up
        • End of life support

        Day hospital activity:

        • Delivery of treatment for hospital use
        • Chronic Kidney Disease Checkup
        • Education and care of patients on peritoneal dialysis
        • Nephrology and transplant emergency consultations

        Activity of the hemodialysis department

        • Placement of hemodialysis catheters
        • Management of patients requiring urgent hemodialysis
        • Plasma processing (plasma exchange, rheopheresis, lipidopheresis)
        • Initiation of chronic hemodialysis
        • Education and training in self-dialysis and home hemodialysis
        • Management and monitoring of chronic hemodialysis patients
        Regional medical meetings

        The service provides various medical meetings to discuss patient files, accessible by videoconference by health professionals in the region, with the following themes:

        • Kidney transplantation
        • Kidney pathology
        • Genetic Nephrology
        • Onco-nephrology
        • Complex vascular approaches for hemodialysis

        Competence Center

        Rare Disease Competence Center
        Structure
      • Research & teaching

        Attachment to research teams

        Some members of the Nephrology Department are currently attached to the research team of the UFR Santé of the University of Caen-Normandy:

        Research topics

        The main theme of the service is the integration of therapeutic modalities of Chronic Kidney Disease in the patient journey, the optimization of transition phases, the study of the impact of social inequalities in health, innovation in dialysis.

        Teaching activities

        The department actively participates in various courses:

        • Training of medical students at the UFR Santé and in the service
        • Training and supervision of the DES in nephrology (regional G4, CUEN , Memory and Thesis)
        • Intra-hospital training (CHU de Caen and CH de Flers) for interns from other specialties
        • Training of nurses (AFIDTN, intra-department)
        • Training of general practitioners as part of their FMC
      • The latest news related to the service…

      Locate / contact service

      Nephrology

      University Center for Kidney Diseases

      Avenue de la Côte de Nacre
      CS 30001
      14033 CAEN cedex 9


      Nephrology

      Service Secretariat


      Level GPS accessCar park Hall E-mail
      Consulting
      University Center for Kidney Diseases
      Level : 1
      GPS Access: CUMR
      Car Park: Car Park 2
      CUMR entry
      Hemodialysis
      University Center for Kidney Diseases
      Level : 0
      GPS Access: CUMR
      Car Park: Car Park 2
      CUMR entry
      Conventional hospitalization
      Côte de Nacre Tower
      Level : 21
      GPS Access: Main
      Car Park: Car Park 1
      Main Entrance of Caen Normandy University Hospital
      Continuing care hospitalization
      Côte de Nacre Tower
      Level : 16
      GPS Access: Main
      Car Park: Car Park 1
      Main Entrance of Caen Normandy University Hospital
      Day hospital
      University Center for Kidney Diseases
      Level : 1
      GPS Access: CUMR
      Car Park: Car Park 2
      CUMR entry
      Hemodialysis and consultation in Flers