Episodes of intradialytic hypotension decreased from 19 pre and 19 during Laughter Yoga to 4 post Laughter Yoga. There was no change in lung function or blood pressure. All nurses agreed or strongly agreed that Laughter Yoga had a positive impact on patients' mood, it was a feasible intervention and they would recommend Laughter Yoga to their patients. Sample size calculations for future.
Intradialytic hypotension is a serious complication during renal replacement therapy in critically ill patients. Early prediction of intradialytic hypotension could allow adequate prophylactic measures. In this study we evaluated the ability of peripheral perfusion index (PPI) and heart rate variability (HRV) to predict intradialytic hypotension. A prospective observational study included 36.
Introduction. Approximately 15 to 33% of all dialysis treatments are complicated by intradialytic hypotension (IDH). In this study, we tested the hypothesis that the intravenous administration of hydrocortisone prior to HD treatment could prevent IDH or at least decrease the drop in the blood pressure resulting from IDH. Methods.
Intradialytic hypotension (IDH) is one of the most common complications of HD in clinical practice due to the older average age of dialysis patients and the increasing prevalence of comorbidities such as diabetes mellitus and heart failure (HF). The prevalence of IDH ranges from 8 to 40% in different studies. The reasons for the discrepant IDH prevalence in these studies are not completely.
Introduction to Intradialytic Hypotension: Perspectives in Contemporary Practice. Steven Brunelli; Pages: 463; First Published: 21 August 2017; Full text PDF PDF Request permissions; Definitions of intradialytic hypotension. Magdalene M. Assimon; Jennifer E. Flythe; Pages: 464-472; First Published: 09 July 2017; Abstract; Full text PDF PDF References; Request permissions; A brief review of.
Background: Hypoalbuminemia and Intradialytic Hypotension (IDH) is a common complication during HD session. Hypotension is a risk factor for mortality and morbidity in HD patients. Patients and methods: We conducted a cross-sectional study on 50 patients with ESRD who received regular hemodialysis session 3 times weekly for more than 3 months (from April to July 2017) at Ashmoun General.
Intradialytic plasma volume change (IPVC) owing to ultrafiltration is a dominant cause of intradialytic hypotension (IDH). Lower occurrence of IDH in hemodiafiltration (HDF) than in standard hemodialysis (std-HD) indicates that HDF has preventive effect on IPVC. This study examined whether online HDF (ol-HDF) prevented IPVC compared with std-HD. In 115 std-HD, 59 push-pull ol-HDF (pp-ol-HDF.
Intradialytic hypotension (IDH) produces uncomfortable symptoms for the patient and reduces the efficiency of dialysis. Recent findings. IDH may be an important cause of vascular access thrombosis. Automatic biofeedback-controlled dialysis changes dialysate conductivity and ultrafiltration during dialysis. A number of trials suggest that automatic feedback-controlled dialysis improves IDH in.
Intradialytic hypotension, namely, a decrease of systolic or mean blood pressure to a certain level, prohibits the safe and smooth achievement of ultrafiltration and solute removal goal in chronic dialysis patients. Studies have elucidated the potential mechanisms involved in the development of Intradialytic hypotension, including excessive ultrafiltration and loss of compensatory mechanisms.
The study by Shimizu et al1 in this issue of the American Journal of Kidney Diseases concludes that the treatment of intradialytic hypotension with low-volume hypertonic saline and glucose infusions (20 mL each) appears to increase blood pressure by an increase in plasma osmolality and a subsequent rise in the plasma arginine vasopressin (AVP) concentration.
Intradialytic hypotension (IDH) is associated with disabling symptoms, underdialysis, vascular access thrombosis, accelerated loss of renal function, cardiovascular events, and mortality (1-3). The prevalence of IDH depends on the definitions that are used. Defining IDH is difficult because there is no accepted “safe” blood pressure (BP) range for dialysis patients; therefore, many.
A major factor driving intradialytic hypotension is ultrafiltration goal, with higher goals generally increasing the risk of hypotension but often patients with significant intradialytic hypertension suffer further rises in blood pressure if the ultrafiltration goal is increased. The optimal pre-dialysis systolic BP range for dialysis patients is unknown but probably lies somewhere within the.