Abstract
Two patients with profound dialysis-induced hypotension were seen, in both of whom sequential ultrafiltration and haemodialysis failed to alleviate their symptoms; in one bicarbonate dialysis similarly produced no improvement. The hypotension was frequently severe enough to necessitate premature termination of the dialysis. Haemofiltration was associated with almost total resolution of symptoms, adequate biochemical control of uraemia, and satisfactory removal of weight gain between dialysis sessions. Profound hypotension during dialysis may become more common as older patients enter dialysis programmes; haemofiltration is a valuable technique in such cases.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Graefe U., Milutinovich J., Follette W. C., Vizzo J. E., Babb A. L., Scribner B. H. Less dialysis-induced morbidity and vascular instability with bicarbonate in dialysate. Ann Intern Med. 1978 Mar;88(3):332–336. doi: 10.7326/0003-4819-88-3-332. [DOI] [PubMed] [Google Scholar]
- Levine J., Falk B., Henriquez M., Raja R. M., Kramer M. S., Rosenbaum J. L. Effects of varying dialysate sodium using large surface area dialyzers. Trans Am Soc Artif Intern Organs. 1978;24:139–141. [PubMed] [Google Scholar]
- Rosa A. A., Fryd D. S., Kjellstrand C. M. Dialysis symptoms and stabilization in long-term dialysis. Practical application of the CUSUM plot. Arch Intern Med. 1980 Jun;140(6):804–807. [PubMed] [Google Scholar]
- Shaldon S. Progress from haemodialysis. Nephron. 1981;27(1):2–6. doi: 10.1159/000182010. [DOI] [PubMed] [Google Scholar]
- Wehle B., Asaba H., Castenfors J., Fürst P., Gunnarsson B., Shaldon S., Bergström J. Hemodynamic changes during sequential ultrafiltration and dialysis. Kidney Int. 1979 Apr;15(4):411–418. doi: 10.1038/ki.1979.53. [DOI] [PubMed] [Google Scholar]