Skip Navigation


NDT Advance Access originally published online on January 25, 2007
Nephrology Dialysis Transplantation 2007 22(4):1007-1012; doi:10.1093/ndt/gfl822
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
22/4/1007    most recent
gfl822v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Pizzarelli, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pizzarelli, F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author [2007]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

From cold dialysis to isothermic dialysis: a twenty-five year voyage

Francesco Pizzarelli

Nephrology and Dialysis Unit, SM Annunziata Hospital Florence, Italy

Correspondence and offprint requests to: Dr Francesco Pizzarelli, Head of Nephrology Unit, SM Annunziata Hospital, Via dell’ Antella 58, 50011-Antella, Florence, Italy Email: fpizzarelli@yahoo.com

Keywords: cold dialysis; dialysis-related hyperthermia; isothermic dialysis; symptomatic hypotension; temperature

The first 150 words of the full text of this article appear below.



   Introduction
 
Twenty-five years have passed since our group described for the first time the role played by Temperature (T) in cardiovascular stability. ‘Cold’ treatments prevented the hypotension induced by ‘warm’ treatments, whether in haemodialysis (HD) or in isolated ultrafiltration [1] or in haemofiltration [2,3].

Though some notes of caution were sounded [4], all researchers studying the problem in the years that followed confirmed the role played by T in short-term [5–9] as well as in long-term studies [10,11]. As compared to standard HD or ‘warm’ HD, that is with dialysate T of 37–37.5°C, ‘cold’ HD, that is with dialysate T of 35–35.5°C, ensures better cardiovascular stability. In 1997, reduction of dialysate T was recommended by the DOQI Guidelines as a means to prevent intradialytic hypotension [12]. A systematic review recently published found that ‘intradialytic . . . [Full Text of this Article]



   Notions of physiology on the relations between body temperature and cardiocirculatory function
 


   Haemodynamic profile and dialytic efficiency in cold dialysis
 


   Determinants of thermal balance in dialysis
 


   Why does body T increase in standard dialysis?
 


   Who benefits from cold dialysis?
 


   The BTM
 


   From cold dialysis to isothermic dialysis
 


   Comparison of methods/methodologies for preventing hypotension
 


   Conclusions
 

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Nephrol Dial TransplantHome page
H.-D. Polaschegg
History of isothermic dialysis
Nephrol. Dial. Transplant., October 1, 2007; 22(10): 3086 - 3086.
[Full Text] [PDF]