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Volume Effects of Daily Hemodialysis
1Department of Medicine, Division of Nephrology, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, U.S.A.
Home Hemodialysis International. International Symposium on Daily Home Hemodialysis
|May 4, 2017
Summary
Daily hemodialysis is well-tolerated, with hypotension rarely occurring. This review examines factors contributing to reduced hypotension during frequent dialysis sessions.
Area of Science:
- Nephrology
- Cardiovascular Physiology
Background:
- Intradialytic hypotension is a common complication of hemodialysis.
- Daily hemodialysis offers an alternative treatment schedule with potential benefits.
Purpose of the Study:
- To review the incidence and contributing factors of hypotension in daily hemodialysis.
- To explore the physiological mechanisms behind the reduced frequency of hypotension.
Main Methods:
- Literature review of studies on daily hemodialysis.
- Analysis of physiological parameters influencing plasma volume during dialysis.
Main Results:
- Daily hemodialysis is associated with a low incidence of hypotension.
- Shorter treatment times may limit plasma volume reduction.
- Higher ultrafiltration rates and lower plasma refilling rates can accentuate plasma volume decrease.
- Reduced intradialytic hypotension may relate to smaller hemodynamic solute oscillations.
Conclusions:
- Daily hemodialysis is a safe and well-tolerated treatment modality.
- Physiological adaptations in daily hemodialysis contribute to its improved hemodynamic stability.
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