| Haemodialysis decreases finger pressures independent of artificial kidney blood flow. | |
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MedLine Citation:
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PMID: 20649876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access-induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access. METHODS: A questionnaire identified 10 patients that subjectively experienced ischaemic symptoms during haemodialysis. Systolic blood pressure, heart rate, finger pressure (P(dig)), finger temperature (T(dig)), oxygen saturation and ischaemic scores were monitored during two different arterial blood flow dialysis sessions. RESULTS: Before dialysis, P(dig) and T(dig) of the arteriovenous access hand were significantly lower compared with the other hand. Haemodialysis induced a drop of P(dig) in both hands. All changes in P(dig) occurred independent of the artificial kidney's blood flow level. CONCLUSION: Systemic hypotension following onset of haemodialysis further intensifies an already diminished hand perfusion. Measures preventing dialytic hypotension will likely attenuate symptoms associated with haemodialysis access-induced distal ischaemia during haemodialysis. |
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Authors:
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Frank Van Hoek; Marc R Scheltinga; Saskia Houterman; Charles H Beerenhout |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Nephrology (Carlton, Vic.) Volume: 15 ISSN: 1440-1797 ISO Abbreviation: Nephrology (Carlton) Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-23 Completed Date: 2010-11-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9615568 Medline TA: Nephrology (Carlton) Country: Australia |
Other Details:
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Languages: eng Pagination: 555-9 Citation Subset: IM |
Affiliation:
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Departments of Surgery, Máxima Medical Center-Veldhoven, PO box 7777, 5500 MB Veldhoven, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arteriovenous Shunt, Surgical / adverse effects* Blood Pressure* Body Temperature Female Fingers / blood supply* Heart Rate Humans Hypotension / blood, etiology*, physiopathology Ischemia / blood, etiology*, physiopathology Male Middle Aged Netherlands Oxygen / blood Questionnaires Regional Blood Flow Renal Circulation* Renal Dialysis / adverse effects*, methods Time Factors |
| Chemical | |
Reg. No./Substance:
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7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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