Please use this identifier to cite or link to this item:
https://repository.monashhealth.org/monashhealthjspui/handle/1/30393
Title: | Intra-dialytic hypotension and blood volume and blood temperature monitoring. | Authors: | Polkinghorne K.R. ;Damasiewicz M.J. | Institution: | (Damasiewicz, Polkinghorne) Departments of Nephrology and Medicine, Monash Medical Centre, Monash University, Clayton, VIC, Australia | Issue Date: | 5-Oct-2012 | Copyright year: | 2011 | Publisher: | Blackwell Publishing (550 Swanston Street, Carlton South VIC 3053, Australia) | Place of publication: | Australia | Publication information: | Nephrology. 16 (1) (pp 13-18), 2011. Date of Publication: January 2011. | Abstract: | Intra-dialytic hypotension (IDH) is a common problem affecting haemodialysis patients. Its aetiology is complex and influenced by multiple patient and dialysis factors. IDH occurs when the normal cardiovascular response cannot compensate for volume loss associated with ultrafiltration, and is exacerbated by a myriad of factors including intra-dialytic fluid gains, cardiovascular disease, antihypertensive medications and the physiological demands placed on patients by conventional haemodialysis. The use of blood volume monitoring and blood temperature monitoring technologies is advocated as a tool to predict and therefore prevent episodes of IDH. We review the clinical utility of these technologies and summarize the current evidence of their effect on reducing the incidence of IDH in haemodialysis population. This review examines the roles of blood volume and temperature monitoring as means to prevent intra-dialytic hypotension. The authors form the view that these techniques are of limited usefulness in the general haemodialysis population. © 2011 Asian Pacific Society of Nephrology. | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1111/j.1440-1797.2010.01362.x | PubMed URL: | 21175972 [http://www.ncbi.nlm.nih.gov/pubmed/?term=21175972] | ISSN: | 1320-5358 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/30393 | Type: | Article | Subjects: | *intra dialytic hypotension/co [Complication] article blood volume hemodialysis human *hypotension/co [Complication] patient monitoring priority journal risk factor temperature measurement thermoregulation ultrafiltration blood volume priority journal article risk factor temperature measurement thermoregulation ultrafiltration patient monitoring *hypotension / *complication human hemodialysis |
Appears in Collections: | Articles |
Show full item record
Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.