Haemodialysis decreases finger pressures independent of artificial kidney blood flow

Nephrology
F Van HoekCharles H Beerenhout

Abstract

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. 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. 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. 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.

References

Jan 1, 1992·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J G JonesJ H Turney
Jan 1, 1990·Nephron·Y Gilli, U Binswanger
Mar 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·T M Fuhrman, E McSweeney
Jul 1, 1995·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·N M Krivitski
May 1, 1996·The American Journal of Emergency Medicine·G R Pesola, N Bugal
Feb 12, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·A J LuikK M Leunissen
Apr 1, 2000·Annals of Vascular Surgery·C D GoffJ R Wheeler
Nov 10, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·F M van der SandeK M Leunissen
Feb 16, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G S Tynan-Cuisinier, S S Berman
Aug 1, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F van HoekJ H M Tordoir
Mar 30, 2007·Vascular Medicine·Andres SchanzerHarry Schanzer
May 12, 2009·Seminars in Dialysis·Frank van HoekCharles Beerenhout

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Citations

Aug 27, 2014·Physiological Measurement·Frida SandbergLeif Sörnmo
Jun 27, 2020·The Journal of Vascular Access·Michael W M GerrickensMarc R M Scheltinga

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