Impact of sodium and ultrafiltration profiling on haemodialysis-related hypotension

Nephrology Dialysis Transplantation

Volumn 21, Issue 11, 2006, Pages 3231-3237

  Zhou, Yi Lun ^a   Liu, Hui Lan ^a   Duan, Xiao Feng ^a   Yao, Ying ^a   Sun, Yi ^a   Liu, Qun ^a  

^a CAPITAL MEDICAL UNIVERSITY   (China)

Author keywords

Blood volume monitoring; Haemodialysis; Hypotension; Sodium balance neutral sodium profile; Ultrafiltration profile

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM ANTAGONIST; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; HEMOGLOBIN; PROTEIN; SODIUM;

ADULT; ARTICLE; BLOOD VESSEL DIAMETER; BLOOD VOLUME; CAVA VEIN; CHRONIC GLOMERULONEPHRITIS; CONCENTRATION (PARAMETERS); DIALYSATE LEVEL; FEMALE; HEART FUNCTION; HEART OUTPUT; HEART RATE; HEART STROKE VOLUME; HEMODIALYSIS; HUMAN; HYPERTENSION; HYPOTENSION; INCIDENCE; MALE; MEAN ARTERIAL PRESSURE; PRIORITY JOURNAL; PROTEIN BLOOD LEVEL; SODIUM BALANCE; SODIUM BLOOD LEVEL; SODIUM DEPLETION; STATISTICAL SIGNIFICANCE; ULTRAFILTRATION;

BLOOD PRESSURE; BLOOD VOLUME DETERMINATION; FEMALE; HEART FUNCTION TESTS; HEART RATE; HEMODIAFILTRATION; HUMANS; HYPOTENSION; MALE; MIDDLE AGED; RENAL DIALYSIS; SODIUM;

EID: 33749996984     PISSN: 09310509     EISSN: 14602385     Source Type: Journal    
DOI: 10.1093/ndt/gfl375     Document Type: Article

References (24)

1. Daugirdas JT. Pathophysiology of dialysis hypotension: An update. Am J Kidney Dis 2001; 38 [Suppl 4]: 11-17
2. van der Sande FM, Kooman JP, Leunissen KML. Strategies for improving hemodynamic stability in cardiac compromised dialysis patients. Am J Kidney Dis 2000; 35: E19
3. Zucchelli P, Santoro A. Dialysis-induced hypotension: A fresh look at pathophysiology. Blood Purif 1993; 11: 85-98
4. Bogaard HJ, de Vries JP, de Vries PM. Assessment of refill and hypovolaemia by continuous surveillance of blood volume and extracellular fluid volume. Nephrol Dial Transplant 1994; 9: 1283-1287
5. Movilli E, Camerini C, Fabio B et al. Blood volume changes during three different profiles of dialysate sodium variation with similar intradialytic sodium balance in chronic hemodialyzed patients. Am J Kidney Dis 1997; 30: 58-63
6. Coli L, Bonomini M, Manna GL et al. Clinical use of profiled hemodialysis. Artif Organs 1998; 22: 724-730
7. Stiller S, Wirtz D, Waterbar F et al. Less symptomatic hypotension using blood volume controlled ultrafiltration. ASAIO Trans 1991; 37: M139-M141
8. Ebel H, Laage C, Keuchel M et al. Impact of profile hemodialysis on intra-/extracellular fluid shifts and the release of vasoactive hormones in elderly patients on regular dialysis treatment. Nephron 1997; 75: 264-271
9. Splendiani G, Costanzi S, Passalacqua S et al. Sodium and fluid modulation in dialysis: New approach. Nephron 2001; 89: 377-380
10. Mann H, Stiller S. Sodium modeling. Kidney Int 2000; 58: 79-88
11. Stiller S, Bonnie-Schorn E, Grassmann A, Uhlenbusch-Korwer I, Mann H. A critical review of sodium profiling for hemodialysis. Semin Dial 2001; 14: 337-347
12. Levin A, Goldstein MB. The benefits and side effects of ramped hypertonic sodium dialysis. J Am Soc Nephrol 1996; 7: 242-246
13. Sang GL, Kovithavongs C, Ulan R, Kjellstrand CM. Sodium ramping in hemodialysis: A study of beneficial and adverse effects. Am J Kidney Dis 1997; 29: 669-677
14. Sadowsky RH, Allred EN, Jabs K. Sodium modeling ameliorates intradialytic symptoms in young dialysis patients. J Am Soc Nephrol 1993; 4: 1192-1198
15. Donauer J, Kolblin D, Bek M, Krause A, Bohler 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
16. Straver B, de Vries PMJM, Donker AJM et al. The effect of profiled hemodialysis on intradialytic hemodynamics when a proper sodium balance is applied. Blood Purif 2002; 20: 364-369
17. Song JH, Park GH, Lee SY, Lee SW, Lee SW, Kim MJ. Effect of sodium balance and the combination of ultrafiltration profile during sodium profiling hemodialysis on the maintenance of the quality of dialysis and sodium and fluid balances. J Am Soc Nephrol 2005; 16: 237-246
18. Krepel HP, Nette RW, Akcahuseyin E et al. Variability of relative blood volume during haemodialysis. Nephrol Dial Transplant 2000; 15: 673-679
19. Henzman G, Panzetta G, Bianco F et al. Autonomic nervous function and blood volume monitoring during hemodialysis. Int J Artif Organs 1995; 18: 504-508
20. van der Sande FM, Kooman JP, Leunissen KML. Intradialytic hypotension - new concepts on an old problem. Nephrol Dial Transplant 2000; 15: 1746-1748
21. Kooman JP, van Hooff JP, Leunissen KM. The venous system and dialysis-associated hypotension. Contrib Nephrol 1994; 106: 99-105
22. Iselin H, Tsinalis D, Brunner FP. Sodium balance-neutral sodium profiling does not improve dialysis tolerance. Swiss Med Wkly 2001; 131: 635-639
23. Santoro A, Mancini E, Basile C et al. Blood volume controlled hemodialysis in hypotension-prone patients: A randomized, multicenter controlled trial. Kidney Int 2002; 62: 1034-1045
24. Begin V, Deziel C, Madore F. Biofeedback regulation of ultrafiltration and dialysate conductivity for the prevention of hypotension during hemodialysis. ASAIO J 2002; 48: 312-315