Characteristics of hypertension-prone haemodialysis patients: Is there a critical relative blood volume?

Nephrology Dialysis Transplantation

Volumn 18, Issue 7, 2003, Pages 1353-1360

  Barth, Claudia ^a   Boer, Walter ^b   Garzoni, Daniela ^c   Kuenzi, Thomas ^d   Ries, Wolfgang ^e   Schaefer, Ralf ^a   Schneditz, Daniel ^f   Tsobanelis, Theoharis ^g   van der Sande, Frank ^h   Wojke, Ralf ⁱ   Schilling, Holger ⁱ   Passlick Deetjen, Jutta ⁱ  

^a KfH Dialysis Centre Koeln Lindenthal   (Germany)

^b UNIVERSITY MEDICAL CENTER UTRECHT   (Netherlands)

^c CANTONAL HOSPITAL ST GALLEN   (Switzerland)

^d Stadtspital Waid   (Switzerland)

^e Diakonissenkrankenhaus Flensburg   (Germany)

^f RENAL RESEARCH INSTITUTE   (United States)

^g KfH Dial Ctr Frankfurt Roedelheim   (Germany)

^h MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

ⁱ FRESENIUS MEDICAL CARE   (Germany)

Author keywords

Haemodialysis; Hypotension; Hypovolaemia; Intradialytic morbid events; Relative blood volume; Relative blood volume limit

Indexed keywords

ADULT; AGED; ARTICLE; BLOOD PRESSURE MEASUREMENT; BLOOD VOLUME; CLINICAL TRIAL; COMORBIDITY; CONGESTIVE HEART FAILURE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; DIABETES MELLITUS; DIASTOLIC BLOOD PRESSURE; FEMALE; HEART ARRHYTHMIA; HEMODIALYSIS; HEMODYNAMICS; HUMAN; HYPERTENSION; HYPOTENSION; HYPOVOLEMIA; ISCHEMIC HEART DISEASE; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NEUROPATHY; PATIENT MONITORING; PERIPHERAL OCCLUSIVE ARTERY DISEASE; PRIORITY JOURNAL; PROSPECTIVE STUDY; SYMPTOMATOLOGY; ULTRAFILTRATION; ULTRASOUND; ALGORITHM; CHRONIC KIDNEY FAILURE; EVALUATION; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; PREDICTION AND FORECASTING; RENAL REPLACEMENT THERAPY; RISK FACTOR; TIME;

AGED; ALGORITHMS; BLOOD VOLUME; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; HYPOTENSION; HYPOVOLEMIA; KIDNEY FAILURE, CHRONIC; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RENAL DIALYSIS; RISK FACTORS; TIME FACTORS;

EID: 0038691523     PISSN: 09310509     EISSN: None     Source Type: Journal    
DOI: 10.1093/ndt/gfg171     Document Type: Article

References (18)

1. Daugirdas JT. Preventing and managing hypotension. Semin Dial 1994; 7: 276-283
2. Daugirdas JT. Pathophysiology of dialysis hypotension: an update. Am J Kidney Dis 2001; 36: 11-17
3. Maggiore Q et al. The effect of control of thermal balance on vascular stability in hemodialysis patients: results of the European randomized clinical trial. Am J Kidney Dis 2002; 40: 280-290
4. Boggard HJ, De Vries JPPM, De Vries PMJM. Assessment of refill and hypovolaemia by continuous surveillance of blood volume and extracellular fluid volume. Nephrol Dial Transplant 1994; 9: 1283-1287
5. Kim KE, Neff M, Cohen B et al. Blood volume changes and hypotension during hemodialysis. Trans Am Soc Artif Intern Org 1970; 16: 508-514
6. Steuer R, Leypoldt JK, Cheung AK et al. Hematocrit as an indicator of blood volume and a predictor of intradialytic morbid events. ASAIO J 1994: M691-M696
7. Schneditz D, Pogglitsch H, Horina J, Binswanger U. A blood protein monitor for the continuous measurement of blood volume changes during hemodialysis. Kidney Int 1990; 38: 342-346
8. Johner C, Chamney PW, Schneditz D, Kraemer M. Evaluation of an ultrasonic blood volume monitor. Nephrol Dial Transplant 1998; 13: 2098-2103
9. Lins LE, Hedenborg G, Jacobson SH et al. Blood pressure reduction during hemodialysis correlates to intradialytic changes in plasma volume. Clin Nephrol 1992; 37: 308-313
10. Ronco C, Bellomo R, Ricci Z. Hemodynamic response to fluid withdrawal in overhydrated patients treated with intermittent ultrafiltration and slow continuous ultrafiltration: role of blood volume monitoring. Cardiology 2001; 96: 196
11. Keijman J, van der Sande F, Kooman J, Leunissen K. Thermal energy balance and body temperature; comparison between isolated ultrafiltration and haemodialysis at different dialysate temperatures. Nephrol Dial Transplant 1999; 14: 2196-2200
12. Mann H, Stiller S, Gladziwa U, Königs F. Kinetic modelling and continuous on-line blood volume monitoring during dialysis therapy. Nephrol Dial Transplant 1990; [Suppl 1]: 144-146
13. Blacher J, Guerin A, Pannier B, Marchais S, London G. Arterial calcifications, arterial stiffness, and cardiovascular risk in end-stage renal disease. Hypertension 2001; 38: 938-942
14. Donauer J, Koelbin D, Bek M, Krause A, Boehler J. Ultrafiltration profiling and measurement of relative blood volume as strategies to reduce hemodialysis-related side effects. Am J Kidney Dis 2000; 36: 115-123
15. Stiller S, Mann H. Less symptomatic hypotension using blood volume controlled ultrafiltration. Trans Am Soc Artif Intern Org 1991; 37: 139-141
16. Santoro A et al. Blood volume controlled hemodialysis in hypotension-prone patients: a randomized, multicenter controlled trial. Kidney Int 2002; 62: 1034-1045
17. Lopot F, Kotyk P, Blaha J, Forejt J. Use of continuous blood volume monitoring to detect inadequately high dry weight. Int J Artif Org 1996; 19: 411-414
18. Boer W et al. Less intradialytic complications with blood volume control. Nephrol Dial Transplant 2002; 17 [Suppl 1]: M284