| Autor: |
Sherman RA, Faustino EF, Bernholc AS, Eisinger RP |
| Jazyk: |
angličtina |
| Zdroj: |
American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 1984 Jul; Vol. 4 (1), pp. 66-8. |
| DOI: |
10.1016/s0272-6386(84)80029-3 |
| Abstrakt: |
The effect on BP of alteration in dialysate temperature was studied in 150 hemodialysis treatments in 17 patients using a randomized, double-blind protocol. Each patient was treated using dialysate at 35.6 degrees C, 36.7 degrees C, and 37.8 degrees C. Mean BP during 35.6 degrees C dialysis was significantly higher than during 36.7 degrees C or 37.8 degrees C treatments. Symptomatic hypotensive episodes were more frequent at a dialysate temperature of 37.8 degrees C than during use of cooler dialysates. Modest changes in dialysate temperature thus appear to affect BP during hemodialysis. Dialysate cooler than that routinely employed has a beneficial effect while warmer dialysate has a detrimental one on intradialytic BP. The use of dialysate at least 1 degree C cooler than "isothermic" levels may be appropriate. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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