Faster rate of blood volume change in pediatric hemodialysis patients impairs cardiac index

ConclusionThe cardiac index and stroke volume decreased significantly during the HD session. Patients with larger blood volume changes during the first 2  h of HD and at 4 h showed a significant decrease in cardiac index that did not recover at the completion of the HD treatment. Rate of fluid removal was the only significant risk factor for compromised cardiac index during HD. Conventional methods currently used for assisting fluid removal in HD ar e inadequate to assess hemodynamic changes.

Source: Pediatric Nephrology - January 1, 2017 Category: Urology & Nephrology Source Type: research