Increased Hepato-Splanchnic Vasoconstriction in Diabetics during Regular Hemodialysis

Increased Hepato-Splanchnic Vasoconstriction in Diabetics during Regular Hemodialysis

BACKGROUND AND OBJECTIVES Ultrafiltration (UF) of excess fluid activates numerous compensatory mechanisms during hemodialysis (HD). The increase of both total peripheral and splanchnic vascular resistance is considered essential in maintaining hemodynamic stability. The aim of this study was to evaluate the extent of UF-induced changes in hepato-splanchnic blood flow and resistance in a group o...

Hypoglycemia in diabetics during Hajj.

ypoglycemia in diabetics is more common than appreciated.1 It is common in diabetics on insulin. At least one-third of insulin treated patients suffer an episode severe enough to cause loss of consciousness at some time, 10% have such a coma annually, and at some stage 3% suffer recurrent attacks so frequently as to be incapacitating.2 After working in the Emergency Department of Ajiad Hospital...

Splanchnic vascular control during sepsis and endotoxemia.

Endotoxemia and sepsis often result in circulatory derangements which manifest as perfusion maldistributions. It has been widely accepted that the splanchnic circulation decreases in perfusion during advanced septic or endotoxemic states. Impaired perfusion of splanchnic organs may result not only in organ dysfunction but also exacerbations of polymicrobial bacteremia due to intestinal mucosal ...

Increased Cerebral Water Content in Hemodialysis Patients

Little information is available on the impact of hemodialysis on cerebral water homeostasis and its distribution in chronic kidney disease. We used a neuropsychological test battery, structural magnetic resonance imaging (MRI) and a novel technique for quantitative measurement of localized water content using 3T MRI to investigate ten hemodialysis patients (HD) on a dialysis-free day and after ...

Improving splanchnic perfusion during cardiopulmonary bypass.