Document Detail

Relative blood volume based biofeedback during haemodialysis.
MedLine Citation:
PMID:  17702507     Owner:  NLM     Status:  MEDLINE    
Intra-dialytic hypotension is the most frequently occurring complication during haemodialysis and can lead to serious complications. Devices that continuously and non-invasively monitor relative blood volume (RBV) changes during HD are being advocated as a tool to maintain an adequate volume of the intravascular compartment in order to avoid dialysis hypotension. Nowadays, most manufacturers have incorporated a RBV monitor in their dialysis apparatus and two manufacturers have designed biofeedback devices that control intra-dialytic RBV changes. The goal of RBV based biofeedback systems is to prevent a severe or abrupt decrease in blood volume in order to prevent the development of dialysis hypotension. Biofeedback technologies can diminish the severity and/or frequency of dialysis hypotension. At present, however, a completely symptom-free HD is not a reality. The major reasons for this are patient characteristics such as cardiovascular co-morbidity and high UF rates and a lack of understanding of the relation between RBV changes and blood pressure/cardiovascular stability.
J J Dasselaar
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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:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  101392167     Medline TA:  J Ren Care     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  59-65     Citation Subset:  N    
Dialysis Centre, Groningen, The Netherlands.
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MeSH Terms
Biofeedback, Psychology / methods*,  physiology
Blood Volume
Blood Volume Determination / methods*,  nursing
Hypotension / diagnosis*,  etiology,  prevention & control
Monitoring, Physiologic / methods*,  nursing
Nursing Assessment
Primary Prevention
Renal Dialysis / adverse effects*,  methods,  nursing
Risk Factors
Severity of Illness Index

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

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