Dialysis, Ultrafiltration, and Blood Pressure

Autor:	P. Fürst, R. Oules, Asaba H, Jonas Bergström
Rok vydání:	2006
Předmět:	medicine.medical_specialty business.industry Extramural medicine.medical_treatment Urology Ultrafiltration Hematology General Medicine medicine.disease Uremia Surgery Blood pressure Chronic disease Nephrology medicine Hemodialysis business Dialysis (biochemistry)
Zdroj:	Blood Purification. 24:222-229
ISSN:	1421-9735 0253-5068
DOI:	10.1159/000091016
Popis:	The effect of ultrafiltration on blood pressure was compared in six patients with problems of overhydration during single-pass dialysis, ultrafiltration only (the fluid bypassing the dialyser) and recirculation dialysis (using the RP 6 dialyser and the 75 l Rodial system). Adequate ultrafiltration during single-pass dialysis was hampered by symptomatic hypotension. However, during recirculation dialysis as well as during ultrafiltration without dialysis much more rapid ultrafiltration was tolerated without a fall in blood pressure. A considerable fall in plasma osmolality occurred with single-pass dialysis, whereas only a small decrease occurred with recirculation dialysis and no change with ultrafiltration only. We conclude that a rapid fall in plasma osmolality interferes with blood pressure regulation and that ultrafiltration is far better tolerated provided that osmotic shifts are avoided or minimised.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::61d85066f5453aeffa6c98d8afe886fd https://doi.org/10.1159/000091016 Zobrazit plný text záznamu Plný text ve formátu PDF