Document Detail

The effect of red cell transfusion on hemodialysis-related hypotension.
MedLine Citation:
PMID:  3337097     Owner:  NLM     Status:  MEDLINE    
Blood pressures of 25 stable end-stage renal disease patients with chronic anemia (mean hemoglobin 5.9 g/dL) who had received 2 units of packed red cells during hemodialysis were studied. Three treatments preceding and three following the transfusion dialysis were compared. Twenty-eight hypotensive episodes preceded and 12 followed transfusion (P = .02). Intravenous sodium chloride used for hypotension declined from a mean of 20.4 to 10.2 mEq per dialysis (P = .01). The rate of decline in mean arterial pressure during dialysis was significantly slower following transfusion (P less than .01). Mean postdialysis weight fell from 62.0 kg before transfusion to 61.5 kg following transfusion (P less than .001). Thus, red cell transfusion raises intradialytic pressure and reduces the frequency of intradialytic hypotension.
R A Sherman; F Torres; R P Cody
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  11     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1988 Jan 
Date Detail:
Created Date:  1988-02-24     Completed Date:  1988-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-5     Citation Subset:  IM    
Department of Medicine, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903.
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MeSH Terms
Anemia / etiology,  therapy
Blood Transfusion*
Erythrocyte Transfusion*
Hypotension / etiology*,  therapy
Kidney Failure, Chronic / therapy
Middle Aged
Renal Dialysis / adverse effects*

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

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