Diagnostic Utility of Blood Volume Monitoring in Hemodialysis Patients

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Diagnostic utility of blood volume monitoring in hemodialysis patients.

BACKGROUND Assessment of volume state is difficult in hemodialysis patients. Whether continuous blood volume monitoring can improve the assessment of volume state is unclear. STUDY DESIGN Diagnostic test study. SETTINGS & PARTICIPANTS Asymptomatic long-term hemodialysis patients (n = 150) in 4 university-affiliated hemodialysis units. INDEX TESTS Ultrafiltration rate (UFR) divided by post...

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Hemodialysis Volume-Associated Ambulatory Blood Pressure Patterns in Hemodialysis Patients

Although volume excess causes hypertension, whether it also affects circadian patterns of arterial pressures among hemodialysis patients remains unknown. To test the notion of whether volume overload is associated with a unique blood pressure (BP) “signature,” a posthoc analysis was performed among 145 patients participating in the Dry-Weight Reduction in Hypertensive Hemodialysis Patients rand...

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Optimized Blood Volume Monitoring during Hemodialysis Procedure based on Ultrasonic Speed Measurement

Fast reduction of blood water volume due to ultra-filtration via hemodialysis machine and critical threshold of blood water volume can result in clinical complications such as hypotension. When blood water volume reduces during hemodialysis process, the concentration of blood forming elements will increase. One of the methods for the monitoring of the concentration changes is ultrasonic speed m...

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Sensitivity of blood volume monitoring for fluid status assessment in hemodialysis patients.

BACKGROUND/AIMS This study investigates the use of blood volume monitoring (BVM) markers for the assessment of fluid status. METHODS Predialysis fluid overload (FO) and BVM data were collected in 55 chronic hemodialysis patients in 317 treatments. Predialysis FO was measured using bioimpedance spectroscopy. The slope of the intravascular volume decrease over time normalized by ultrafiltration...

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Blood Volume Monitoring to Assess Dry Weight in Pediatric Chronic Hemodialysis Patients.

OBJECTIVE Volume overload from an incorrect assessment of dry weight leads to cardiovascular diseases in chronic hemodialysis patients. Dry weight assessment in pediatric is difficult for a number of reasons including growth. Blood volume monitoring (BVM) has been proposed as an accurate method of estimating dry weight in adult. However, there is very scant data regarding B VM assessment in ped...

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ژورنال

عنوان ژورنال: American Journal of Kidney Diseases

سال: 2008

ISSN: 0272-6386

DOI: 10.1053/j.ajkd.2007.10.036