Haemodynamics and electrolyte balance: a comparison between on-line pre-dilution haemofiltration and haemodialysis
Background. An important advantage of convective therapies is improved vascular reactivity. However, it is not well known whether the vascular response during convective therapies remains superior when compared to haemodialysis (HD) with an adjusted temperature of the dialysate. It has also been sug...
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| Veröffentlicht in: | Nephrology, dialysis, transplantation dialysis, transplantation, 2004-09, Vol.19 (9), p.2354-2359 |
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| creator | Beerenhout, Charles Dejagere, Tom van der Sande, Frank M. Bekers, Otto Leunissen, Karel M. Kooman, Jeroen P. |
| description | Background. An important advantage of convective therapies is improved vascular reactivity. However, it is not well known whether the vascular response during convective therapies remains superior when compared to haemodialysis (HD) with an adjusted temperature of the dialysate. It has also been suggested that convective therapies may impair small electrolyte removal through an effect on the Donnan equilibrium. In the present study, we compared the haemodynamic response and small electrolyte removal between pre-dilution on-line haemofiltration (HF) and HD procedures. Methods. Cardiac output (CO), central blood volume (CBV) and peripheral vascular resistance (PVR) were assessed, using the saline dilution technique, in 12 stable patients during HF and HD with two different temperatures of the dialysate [36.5 and 35.5°C (HD36.5 and HD35.5)]. Balances for sodium, potassium, calcium and conductivity were assessed using total dialysate/filtrate collections. Target filtration volume for HF was 1.2 times body weight. The temperature of the infusate was 36.5°C. Results. The change (Δ) in CBV was less during HD with a dialysate temperature of 35.5°C (−0.03±0.14 l; P |
| doi_str_mv | 10.1093/ndt/gfh315 |
| format | Article |
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An important advantage of convective therapies is improved vascular reactivity. However, it is not well known whether the vascular response during convective therapies remains superior when compared to haemodialysis (HD) with an adjusted temperature of the dialysate. It has also been suggested that convective therapies may impair small electrolyte removal through an effect on the Donnan equilibrium. In the present study, we compared the haemodynamic response and small electrolyte removal between pre-dilution on-line haemofiltration (HF) and HD procedures. Methods. Cardiac output (CO), central blood volume (CBV) and peripheral vascular resistance (PVR) were assessed, using the saline dilution technique, in 12 stable patients during HF and HD with two different temperatures of the dialysate [36.5 and 35.5°C (HD36.5 and HD35.5)]. Balances for sodium, potassium, calcium and conductivity were assessed using total dialysate/filtrate collections. Target filtration volume for HF was 1.2 times body weight. The temperature of the infusate was 36.5°C. Results. The change (Δ) in CBV was less during HD with a dialysate temperature of 35.5°C (−0.03±0.14 l; P<0.05) compared to HF (−0.16±0.05 l) and HD36.5 (−0.11±0.14 l), but the other haemodynamic parameters did not differ between the studied techniques. ΔPVR was significantly related to ΔCBV (r = −0.46; P<0.01), whereas ΔCBV was related to ultrafiltration rate (r = −0.34; P = 0.05). ΔCO was related to ΔCBV (r = 0.62; P<0.001). Solute balances did not differ between HF and HD. Conclusion. Using the saline dilution method, no difference in the change in CO and PVR was observed between on-line HF vs HD36.5 and HD35.5. Only CBV declined to a significantly lesser degree during HD35.5, although absolute differences were small. Changes in the other haemodynamic variables appeared more dependent upon the degree and rapidity of fluid removal than upon the treatment modality. No difference in small electrolyte balance was observed between HF and HD, suggesting that ionic removal is not impaired during on-line HF.</description><identifier>ISSN: 0931-0509</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/gfh315</identifier><identifier>PMID: 15266029</identifier><identifier>CODEN: NDTREA</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; central blood volume ; electrolyte balance ; Emergency and intensive care: renal failure. Dialysis management ; Female ; haemodialysis ; haemofiltration ; Hemodynamics - physiology ; Hemofiltration - methods ; Humans ; Intensive care medicine ; Kidney Failure, Chronic - physiopathology ; Kidney Failure, Chronic - therapy ; Male ; Medical sciences ; Nephrology. Urinary tract diseases ; Nephropathies. Renovascular diseases. Renal failure ; on-line pre-dilution ; Renal Dialysis - methods ; Renal failure ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Temperature ; Treatment Outcome ; vascular resistance ; Water-Electrolyte Balance - physiology</subject><ispartof>Nephrology, dialysis, transplantation, 2004-09, Vol.19 (9), p.2354-2359</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-9d3c9ff84da11a87c8078dbc6309ecb1174cdc7a83c9a0df542b9e497dd7b9c83</citedby><cites>FETCH-LOGICAL-c387t-9d3c9ff84da11a87c8078dbc6309ecb1174cdc7a83c9a0df542b9e497dd7b9c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16080536$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15266029$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beerenhout, Charles</creatorcontrib><creatorcontrib>Dejagere, Tom</creatorcontrib><creatorcontrib>van der Sande, Frank M.</creatorcontrib><creatorcontrib>Bekers, Otto</creatorcontrib><creatorcontrib>Leunissen, Karel M.</creatorcontrib><creatorcontrib>Kooman, Jeroen P.</creatorcontrib><title>Haemodynamics and electrolyte balance: a comparison between on-line pre-dilution haemofiltration and haemodialysis</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol. Dial. Transplant</addtitle><description>Background. An important advantage of convective therapies is improved vascular reactivity. However, it is not well known whether the vascular response during convective therapies remains superior when compared to haemodialysis (HD) with an adjusted temperature of the dialysate. It has also been suggested that convective therapies may impair small electrolyte removal through an effect on the Donnan equilibrium. In the present study, we compared the haemodynamic response and small electrolyte removal between pre-dilution on-line haemofiltration (HF) and HD procedures. Methods. Cardiac output (CO), central blood volume (CBV) and peripheral vascular resistance (PVR) were assessed, using the saline dilution technique, in 12 stable patients during HF and HD with two different temperatures of the dialysate [36.5 and 35.5°C (HD36.5 and HD35.5)]. Balances for sodium, potassium, calcium and conductivity were assessed using total dialysate/filtrate collections. Target filtration volume for HF was 1.2 times body weight. The temperature of the infusate was 36.5°C. Results. The change (Δ) in CBV was less during HD with a dialysate temperature of 35.5°C (−0.03±0.14 l; P<0.05) compared to HF (−0.16±0.05 l) and HD36.5 (−0.11±0.14 l), but the other haemodynamic parameters did not differ between the studied techniques. ΔPVR was significantly related to ΔCBV (r = −0.46; P<0.01), whereas ΔCBV was related to ultrafiltration rate (r = −0.34; P = 0.05). ΔCO was related to ΔCBV (r = 0.62; P<0.001). Solute balances did not differ between HF and HD. Conclusion. Using the saline dilution method, no difference in the change in CO and PVR was observed between on-line HF vs HD36.5 and HD35.5. Only CBV declined to a significantly lesser degree during HD35.5, although absolute differences were small. Changes in the other haemodynamic variables appeared more dependent upon the degree and rapidity of fluid removal than upon the treatment modality. No difference in small electrolyte balance was observed between HF and HD, suggesting that ionic removal is not impaired during on-line HF.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>central blood volume</subject><subject>electrolyte balance</subject><subject>Emergency and intensive care: renal failure. Dialysis management</subject><subject>Female</subject><subject>haemodialysis</subject><subject>haemofiltration</subject><subject>Hemodynamics - physiology</subject><subject>Hemofiltration - methods</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney Failure, Chronic - physiopathology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>on-line pre-dilution</subject><subject>Renal Dialysis - methods</subject><subject>Renal failure</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Temperature</subject><subject>Treatment Outcome</subject><subject>vascular resistance</subject><subject>Water-Electrolyte Balance - physiology</subject><issn>0931-0509</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E9LHDEYBvBQWupqe-kHkLm0B2FqMpnJH29V1C1Ie7EgvYR3kndqNDOzTbK0--3NuoueQvL8eCAPIZ8Y_cqo5qeTy6d_hnvOujdkwVpB64ar7i1ZlJDVtKP6gBym9EAp1Y2U78kB6xohaKMXJC4Bx9ltJhi9TRVMrsKANsc5bDJWPQSYLJ5VUNl5XEH0aZ6qHvM_xKmapzr4CatVxNr5sM6-hPfbwsGHHOH5vq18fnMewib59IG8GyAk_Lg_j8ivq8vbi2V98_P6-8W3m9pyJXOtHbd6GFTrgDFQ0ioqleut4FSj7RmTrXVWgioMqBu6tuk1tlo6J3ttFT8iX3a9qzj_XWPKZvTJYig_wnmdjBBScsXbAk920MY5pYiDWUU_QtwYRs12YVMWNruFCz7et677Ed0r3U9awOc9gGQhDLEM6NOrE1TRjovi6p3zKeP_lxzioxGSy84s736bK3Z3Tm9_nJslfwJtrpcO</recordid><startdate>20040901</startdate><enddate>20040901</enddate><creator>Beerenhout, Charles</creator><creator>Dejagere, Tom</creator><creator>van der Sande, Frank M.</creator><creator>Bekers, Otto</creator><creator>Leunissen, Karel M.</creator><creator>Kooman, Jeroen P.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040901</creationdate><title>Haemodynamics and electrolyte balance: a comparison between on-line pre-dilution haemofiltration and haemodialysis</title><author>Beerenhout, Charles ; Dejagere, Tom ; van der Sande, Frank M. ; Bekers, Otto ; Leunissen, Karel M. ; Kooman, Jeroen P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-9d3c9ff84da11a87c8078dbc6309ecb1174cdc7a83c9a0df542b9e497dd7b9c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>central blood volume</topic><topic>electrolyte balance</topic><topic>Emergency and intensive care: renal failure. Dialysis management</topic><topic>Female</topic><topic>haemodialysis</topic><topic>haemofiltration</topic><topic>Hemodynamics - physiology</topic><topic>Hemofiltration - methods</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Kidney Failure, Chronic - physiopathology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>on-line pre-dilution</topic><topic>Renal Dialysis - methods</topic><topic>Renal failure</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Temperature</topic><topic>Treatment Outcome</topic><topic>vascular resistance</topic><topic>Water-Electrolyte Balance - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beerenhout, Charles</creatorcontrib><creatorcontrib>Dejagere, Tom</creatorcontrib><creatorcontrib>van der Sande, Frank M.</creatorcontrib><creatorcontrib>Bekers, Otto</creatorcontrib><creatorcontrib>Leunissen, Karel M.</creatorcontrib><creatorcontrib>Kooman, Jeroen P.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beerenhout, Charles</au><au>Dejagere, Tom</au><au>van der Sande, Frank M.</au><au>Bekers, Otto</au><au>Leunissen, Karel M.</au><au>Kooman, Jeroen P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haemodynamics and electrolyte balance: a comparison between on-line pre-dilution haemofiltration and haemodialysis</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol. Dial. Transplant</addtitle><date>2004-09-01</date><risdate>2004</risdate><volume>19</volume><issue>9</issue><spage>2354</spage><epage>2359</epage><pages>2354-2359</pages><issn>0931-0509</issn><eissn>1460-2385</eissn><coden>NDTREA</coden><abstract>Background. An important advantage of convective therapies is improved vascular reactivity. However, it is not well known whether the vascular response during convective therapies remains superior when compared to haemodialysis (HD) with an adjusted temperature of the dialysate. It has also been suggested that convective therapies may impair small electrolyte removal through an effect on the Donnan equilibrium. In the present study, we compared the haemodynamic response and small electrolyte removal between pre-dilution on-line haemofiltration (HF) and HD procedures. Methods. Cardiac output (CO), central blood volume (CBV) and peripheral vascular resistance (PVR) were assessed, using the saline dilution technique, in 12 stable patients during HF and HD with two different temperatures of the dialysate [36.5 and 35.5°C (HD36.5 and HD35.5)]. Balances for sodium, potassium, calcium and conductivity were assessed using total dialysate/filtrate collections. Target filtration volume for HF was 1.2 times body weight. The temperature of the infusate was 36.5°C. Results. The change (Δ) in CBV was less during HD with a dialysate temperature of 35.5°C (−0.03±0.14 l; P<0.05) compared to HF (−0.16±0.05 l) and HD36.5 (−0.11±0.14 l), but the other haemodynamic parameters did not differ between the studied techniques. ΔPVR was significantly related to ΔCBV (r = −0.46; P<0.01), whereas ΔCBV was related to ultrafiltration rate (r = −0.34; P = 0.05). ΔCO was related to ΔCBV (r = 0.62; P<0.001). Solute balances did not differ between HF and HD. Conclusion. Using the saline dilution method, no difference in the change in CO and PVR was observed between on-line HF vs HD36.5 and HD35.5. Only CBV declined to a significantly lesser degree during HD35.5, although absolute differences were small. Changes in the other haemodynamic variables appeared more dependent upon the degree and rapidity of fluid removal than upon the treatment modality. No difference in small electrolyte balance was observed between HF and HD, suggesting that ionic removal is not impaired during on-line HF.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>15266029</pmid><doi>10.1093/ndt/gfh315</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences central blood volume electrolyte balance Emergency and intensive care: renal failure. Dialysis management Female haemodialysis haemofiltration Hemodynamics - physiology Hemofiltration - methods Humans Intensive care medicine Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Male Medical sciences Nephrology. Urinary tract diseases Nephropathies. Renovascular diseases. Renal failure on-line pre-dilution Renal Dialysis - methods Renal failure Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Temperature Treatment Outcome vascular resistance Water-Electrolyte Balance - physiology |
| title | Haemodynamics and electrolyte balance: a comparison between on-line pre-dilution haemofiltration and haemodialysis |
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