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[Expert consensus on the prevention and treatment of intradialytic hypotension (2022)]

    Zhonghua Nei Ke Za Zhi
    |March 10, 2022
    PubMed

    Insights

    Intradialytic hypotension (IDH) is a common complication in maintenance hemodialysis (MHD) patients, impacting mortality. This consensus provides standardized guidance on IDH diagnosis, prevention, and treatment for clinicians.

    Area of Science:

    • Nephrology
    • Clinical Medicine
    • Dialysis

    Background:

    • Intradialytic hypotension (IDH) is a frequent and serious complication in maintenance hemodialysis (MHD) patients.
    • The complex mechanisms underlying IDH contribute to challenges in its prevention and treatment.
    • IDH significantly impacts the mortality rates of MHD patients.

    Purpose of the Study:

    • To enhance clinician understanding and awareness of IDH.
    • To establish standardized diagnostic criteria for IDH.
    • To provide evidence-based recommendations for the prevention and treatment of IDH.

    Main Methods:

    • An Expert Working Group was formed by the Renal and Blood Purification Committee, Chinese Medicine Education Society.
    • The consensus was developed using an evidence-based approach.
    • Multiple round-table meetings and revisions were conducted to finalize the consensus.

    Main Results:

    • The consensus covers the multifaceted mechanisms of IDH.
    • It details standardized diagnostic approaches for IDH.
    • Comprehensive clinical management, prevention, and treatment strategies are outlined.

    Conclusions:

    • Standardized diagnosis and management of IDH are crucial for MHD patients.
    • This consensus aims to improve clinical practice regarding IDH.
    • Addressing IDH effectively can potentially improve outcomes for MHD patients.

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