Document Detail


The measurement of hemodialysis access blood flow by a conductivity step method.
MedLine Citation:
PMID:  20616158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND OBJECTIVES: Measurement of blood flow rate (Qa) is used to monitor dialysis access, AV fistulas, and grafts. Indicator dilution measurements of the recirculation (R) induced by reversal of hemodialysis blood lines are commonly used. This plus the dialysis circuit flow (Qb) allows calculation of Qa. R also changes the conductivity, which can be measured by a conductivity cell in the spent dialysate. The change in conductivity caused by line reversal should vary with Qa. A methodology for Qa measurement utilizing this conductivity step is proposed. This study compares conductivity step methodology against the reference method of ultrasound dilution (Qa-Trans).
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This was an open diagnostic test study in a single academic hospital setting involving 15 hemodialysis-dependent patients. Each was studied over four hemodialysis treatments. During each treatment, two pairs of Qa measurements (conductivity step and Trans) were made. Pre- and postdialysis sodium levels were also measured.
RESULTS: Average Qa-conductivity step was 1040 ml/min. Average Qa-Trans was 1030 ml/min. The difference was NS. The data pairs showed mean difference of 1.3 +/- 17% (SD). The SD indicates a relatively large variation between data pairs. There was significant linear correlation between the Qa-conductivity step and Qa-Trans results (r = 0.91, P < 0.001). Serum sodium rose slightly but significantly over dialysis (P < 0.001).
CONCLUSIONS: Qa measurement by conductivity step may be an acceptable alternative to ultrasound dilution methodology. Care must be taken to prevent salt loading when the conductivity step is used.
Authors:
Robert M Lindsay; Shih-Han S Huang; Jan Sternby; Thomas Hertz
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-07-08
Journal Detail:
Title:  Clinical journal of the American Society of Nephrology : CJASN     Volume:  5     ISSN:  1555-905X     ISO Abbreviation:  Clin J Am Soc Nephrol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-08     Completed Date:  2011-01-11     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  101271570     Medline TA:  Clin J Am Soc Nephrol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1602-6     Citation Subset:  IM    
Affiliation:
London Health Sciences Centre and the University of Western Ontario, London, Ontario, Canada. robert.lindsay@lhsc.on.ca
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MeSH Terms
Descriptor/Qualifier:
Arteriovenous Shunt, Surgical*
Biological Markers / blood
Blood Flow Velocity
Blood Vessel Prosthesis Implantation*
Dialysis Solutions / chemistry*
Electric Conductivity*
Female
Hospitals, University
Humans
Indicator Dilution Techniques*
Male
Ontario
Predictive Value of Tests
Regional Blood Flow
Renal Dialysis*
Sodium / blood
Ultrasonography
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Dialysis Solutions; 7440-23-5/Sodium
Comments/Corrections

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