Subclinical pulmonary oedema and intermittent haemodialysis

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
C J WallinL G Leksell

Abstract

It has been postulated that patients with chronic renal failure, even in the absence of cardiopulmonary symptoms, accumulate interstitial pulmonary fluid, which is removed by haemodialysis. To test this hypothesis we used the indocyanine green (ICG)-heavy water double indicator dilution method to measure lung water, cardiac output, and central blood volume in relation to haemodialysis. Ten uraemic patients, without cardiopulmonary symptoms, were investigated at the beginning and end, and 2 h after, a regular dialysis session. A group of 18 surgical patients about to undergo elective abdominal surgery served as controls. Despite normal gas exchange, central blood volume, and cardiac output at the start of dialysis the mean (SD) lung water was significantly higher than in the control group [4.8 (0.9) compared with 3.6 (0.7) ml/kg, P < 0.001]. There was no correlation between weight gain between sessions of dialysis and the magnitude of lung water at the start of dialysis. Lung water decreased (P < 0.001) to the level of the control group in response to dialysis. There was no correlation between weight loss and reduction in lung water induced by dialysis. In conclusion, we have verified the presence of subclinical pulmonary oedema...Continue Reading

Associated Clinical Trials

Citations

Oct 31, 2013·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Carmine ZoccaliFrancesca Mallamaci
Mar 2, 2013·Journal of the American Society of Nephrology : JASN·Carmine ZoccaliUNKNOWN Lung US in CKD Working Group
Jun 5, 2014·BioMed Research International·Anastasios F PalamidasNikolaos G Koulouris
Feb 14, 2015·International Urology and Nephrology·Marco MaranoStefano Marano
Jun 15, 2010·JACC. Cardiovascular Imaging·Francesca MallamaciCarmine Zoccali
Sep 24, 2016·Clinical Journal of the American Society of Nephrology : CJASN·Richard A Sherman
Sep 30, 2016·Seminars in Dialysis·Fabio Rosario SalernoChristopher William McIntyre
Jul 13, 2013·Clinical Journal of the American Society of Nephrology : CJASN·Austin G Stack, Liam F Casserly
Aug 9, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Süreyya YılmazMehmet Emin Yilmaz
Dec 23, 2008·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Demetria KovelisAntônio Fernando Brunetto
Dec 30, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Claudia TorinoCarmine Zoccali

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