Prevention of Hypotension During Dialysis.

Hypotension during dialysis is a common complication in haemodialysis patients, which typically occurs during the later stages of dialysis. It is estimated that hypotension occurs 25 to 50% of dialysis treatments (Victor and Henrich 1994 pg196- 208). Many factors involve in hypotension during dialysis including volume depletion, high ultrafiltration rate, autonomic dysfunction, antihypertensive medications, bioincompatible dialyser membrane, low dialysate temperature, declining serum osmolarity etc. (Daugirdas 1991 pg 233). However, in spite of appropriate treatment, many patients still suffer from hypotension …

…cool dialysate beneficial for all patients. American Journal of Nephrology; 10:177-180 12.<Tab/>Dheeman, Sunita, Henrich, William L (2001) Preventing dialysis hypotension: A Comparison of protective manuevers. Kidney International 59(3): 1175-1181 13.<Tab/>Splediani G, Costanzi S, Passalacqua S, etc. (2001) Sodium and fluid modulation in dialysis: Nephron ; 89(4):377-80 14. Oliver, Matthew J, Edwards L, Churchill D (2001): Impact of sodium and ultrafiltration profiling on hemodialysis-related symptoms. Journal of American Society of Nephrology 12(1):151-156