Document Detail


Continuous blood volume monitoring and "dry weight" assessment.
MedLine Citation:
PMID:  17702506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are two distinct facets of adequate fluid balance control in haemodialysis patients--estimation of dry weight (DW) as the target and adequate ultrafiltration (UF) strategy, i.e. the way to reach the target in a possibly symptom-free way. The article reviews the continuous blood volume monitoring (CBVM) based procedures to deal with the former facet-DW determination. The existing approaches are divided in three groups--methods defining certain alert value of relative blood volume (RBV) reduction, methods working with RBV response to constant UF rate, and methods evaluating dynamics of RBV response to UF pulse or chain of UF pulses. While the first and the third approaches are relatively easy to automate, the second group of methods are suitable mainly for observational evaluations only. All the discussed methods, without exception, need large-scale verification, as they all were evaluated in the majority by their authors only and on small patient cohorts.
Authors:
F Lopot; V Nyiomnaitham; Svárová; V Polakovic; F Svára; S Sulková
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of renal care     Volume:  33     ISSN:  1755-6678     ISO Abbreviation:  -     Publication Date:    2007 Apr-Jun
Date Detail:
Created Date:  2007-08-17     Completed Date:  2007-09-28     Revised Date:  2007-12-14    
Medline Journal Info:
Nlm Unique ID:  101392167     Medline TA:  J Ren Care     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  52-8     Citation Subset:  N    
Affiliation:
General University Hospital, Department of Medicine, Prague-Strahov, Czech Republic. f.lopot@vfn.cz
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MeSH Terms
Descriptor/Qualifier:
Bias (Epidemiology)
Blood Volume
Blood Volume Determination / methods*,  nursing
Body Weight*
Dehydration / diagnosis,  etiology,  metabolism
Fluid Shifts / physiology
Humans
Linear Models
Monitoring, Physiologic / methods*,  nursing
Nursing Assessment / methods*
Practice Guidelines as Topic
Renal Dialysis / adverse effects,  methods*,  nursing
Reproducibility of Results
Water Intoxication / diagnosis,  etiology,  metabolism
Water-Electrolyte Imbalance / diagnosis*,  etiology,  metabolism

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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