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Nephrol Dial Transplant (2001) 16: 10-12
© 2001 European Renal Association-European Dialysis and Transplant Association

Editorial Comments

Should relative blood volume changes be routinely measured during the dialysis session?

Carlo Basile

Nephrology and Dialysis Unit, Hospital of Martina Franca, Italy

Introduction

Hypovolaemia has been implicated as a major causal factor of morbidity during haemodialysis (HD). Despite the use of bicarbonate HD, ultrafiltration control devices, sodium modelling, and automated blood-pressure monitoring, the incidence of haemodialysis-induced hypotension (HH) has been reported to be approximately 20% [1,2]. Unfortunately the morbidity associated with hypovolaemia is not limited to hypotension. Steuer et al. [3] have recently demonstrated that cramping and lightheadedness occurred in 28% of all treatment sessions, and in all cases those symptoms were preceded by a pronounced reduction in blood volume (BV).

The . . . [Full Text of this Article]

Fluid changes during HD

Continuous measurement and monitoring of RBV changes

Automatic control of BV

Should RBV changes be routinely measured during the dialysis session?

Notes

References


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