Non-invasive method for preventing intradialytic hypotension: A pilot study
نویسندگان
چکیده
منابع مشابه
Serum vasopressin response in patients with intradialytic hypotension: a pilot study.
BACKGROUND AND OBJECTIVES Arginine vasopressin (AVP), an endogenous hormone with vasopressor properties, may be inadequately secreted during episodes of intradialytic hypotension (IDH). DESIGN, SETTING, PARTICIPANTS, AND MEASUREMENTS To evaluate this, we performed a prospective, observational pilot study of 20 chronic hemodialysis patients assessing the baseline AVP level and trend of AVP wit...
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Intradialytic hypotension (IDH) has plagued hemodialysis (HD) patients and their caregivers since the early days of renal replacement therapy. Its persistence in the current era is evident from the results of the 1426-patient Hemodialysis (HEMO) study in this issue of JASN in which a median of 12.5% of dialysis sessions were complicated by IDH requiring saline infusion, lowering the ultrafiltra...
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Intradialytic hypotension during dialysis adversely affects a patient's prognosis and increases mortality. We report a case in which intradialytic hypotension that persisted after the administration of midodrine was relieved after the use of fludrocortisone. Administration of 0.2 mg of fludrocortisone occurred 30 minutes before dialysis. We compared 45 sessions of dialysis without fludrocortiso...
متن کاملDialysis dose and intradialytic hypotension: results from the HEMO study.
BACKGROUND Intradialytic hypotension (IDH) is common and is associated with increased morbidity and mortality in chronic hemodialysis patients. A higher dialysis 'dose' may generate transient intradialytic osmotic gradients, predisposing to intracellular fluid shifts and resulting in hypotension. STUDY DESIGN We performed a post hoc analysis of the HEMO study, a multicenter trial that randomi...
متن کاملIntradialytic hypotension: a case for going slow and looking carefully.
Intradialytic hypotension (IDH) is one of the most common reasons for modification of the dialysis prescription and remains a significant clinical barrier for effective treatment [1, 2]. The differential diagnosis is broad and may differ between hospitalized inpatients and outpatients, or patients with acute versus chronic renal failure. There are cases to be made for all three major categories...
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ژورنال
عنوان ژورنال: Saudi Journal of Kidney Diseases and Transplantation
سال: 2015
ISSN: 1319-2442
DOI: 10.4103/1319-2442.164569