Central delivery of acid concentrate for haemodialysis

Photo: Unity Health Toronto

MitigationScope 3🏥Nephrology

Needle Nudger (>0.5 tCO₂e or <1 tCO₂e per primary practice)

Climate Impact

30+ tCO₂e

Absolute GHG Reduction

🛢️ Equivalent to at least 69 barrels of oil per year for every 300-bed hospital

Financial Impact

ImplicationsMedium Saving ($25,000-$100,0

SavingsAverage CA$1.56 per dialysis treatment sessions (CA$84,420 for 54,184 sessions per year)

ROIImmediate

Implementation Feasibility

Investment

Team Size

Timeline

The Problem

Traditional dialysis systems generate large amounts of acid waste due to unused concentrate being discarded, creating significant environmental and cost burdens.

The Solution

Implementing a centralized acid concentrate delivery system with large barrels and recirculation lines allows unused acid to return to storage tanks and be redistributed across all dialysis stations.

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Case Studies

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Unity Health Toronto: "Reducing waste and saving money – a dialysis solution sparking interest across Canada"

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By: Bradford Teaching Hospitals NHS Foundation Trust. Central Delivery of Acid for Haemodialysis

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Dialysis Management Clinics

Implementation Experts

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References & Evidence

Canadian Journal of Kidney Health and Disease: Unused Hemodialysis Acid Concentrate is Dollars and Dialysate Down the Drain: An Opinion Piece

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"Green" Hemodialysis: The Centralized Acidic Concentrate from the Dialysis Center of Policlinico of Modena

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Journal of Nephrology: Reducing the carbon footprint for a 30-bed haemodialysis unit by changing the delivery of acid concentrate supplied by individual 5 L containers to a central delivery system

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