Relative Blood Volume Changes Underestimate Total Blood Volume Changes during Hemodialysis

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Relative blood volume changes underestimate total blood volume changes during hemodialysis.

BACKGROUND Measurements of relative blood volume changes (DeltaRBV) during hemodialysis (HD) are based on hemoconcentration and assume uniform mixing of erythrocytes and plasma throughout the circulation. However, whole-body hematocrit (Ht) is lower than systemic Ht. During HD, a change in the ratio between whole-body to systemic Ht (F cell ratio) is likely to occur as a result of a net shift o...

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Do changes in relative blood volume monitoring correlate to hemodialysis-associated hypotension?

INTRODUCTION Intradialytic hypotension remains the most common complication for outpatient hemodialysis, and relative blood volume monitoring was designed to reduce hypotension. Reports of the usefulness of this technology, however, have been variable. METHODS We audited the usefulness of relative blood volume monitoring recorded throughout the mid-week dialysis in 72 stable adult outpatients...

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ژورنال

عنوان ژورنال: Clinical Journal of the American Society of Nephrology

سال: 2007

ISSN: 1555-9041,1555-905X

DOI: 10.2215/cjn.00880207