Abstract
Hypotension is a common occurrence during hemodialysis which results in significant morbidity and time consuming activity by the dialysis staff. To assist in the management of hypotensive episodes during dialysis we have used a microprocessor-based interface to link a hemodialysis delivery system with a blood pressure monitoring device. The system monitors vital signs and when values are beyond the established limits it will notify the staff of changing conditions and will take corrective action by altering ultrafiltration pressure, blood flow and dialysate sodium concentration. All set points for alarms, monitoring function and corrective actions have predetermined default values which may be individually programmed. The system as described allows better control of hemodialysis-related hypotensive episodes independent of patient symptoms and staffing.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dumler F., Grondin G., Levin N. W. Sequential high/low sodium hemodialysis: an alternative to ultrafiltration. Trans Am Soc Artif Intern Organs. 1979;25:351–353. [PubMed] [Google Scholar]
- Henderson L. W. Symptomatic hypotension during hemodialysis. Kidney Int. 1980 May;17(5):571–576. doi: 10.1038/ki.1980.67. [DOI] [PubMed] [Google Scholar]
- Henrich W. L., Woodard T. D., Blachley J. D., Gomez-Sanchez C., Pettinger W., Cronin R. E. Role of osmolality in blood pressure stability after dialysis and ultrafiltration. Kidney Int. 1980 Oct;18(4):480–488. doi: 10.1038/ki.1980.161. [DOI] [PubMed] [Google Scholar]
- Maggiore Q., Pizzarelli F., Zoccali C., Sisca S., Nicolò F., Parlongo S. Effect of extracorporeal blood cooling on dialytic arterial hypotension. Proc Eur Dial Transplant Assoc. 1981;18:597–602. [PubMed] [Google Scholar]
- Mahida B. H., Dumler F., Zasuwa G., Fleig G., Levin N. W. Effect of cooled dialysate on serum catecholamines and blood pressure stability. Trans Am Soc Artif Intern Organs. 1983;29:384–389. [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]