84. A Weighty Issue: Refeeding a Patient on Dialysis
For malnourished patients with end stage renal disease (ESRD) on hemodialysis (HD), refeeding is complex; true weight (dry weight) gain must be accounted for as it accrues in order to safely dialyze. This case describes the challenge of following true weight to appropriately adjust treatment for a patient with ESRD on HD requiring inpatient refeeding.
Authors: Shigematsu T, Asada S, Endo Y, Kawata T, Fukagawa M, Akizawa T Abstract Purpose: Evocalcet is a novel oral calcimimetic drug that has demonstrated similar efficacy to cinacalcet in regulating serum parathyroid hormone (PTH), calcium, and phosphate levels, with fewer upper gastrointestinal tract-related adverse drug reactions (ADRs) in patients with secondary hyperparathyroidism undergoing hemodialysis in Japan. We investigated the efficacy and safety of once-daily oral evocalcet under different dialysate calcium concentrations. Patients and Methods: A post hoc analysis by dialysate calcium concent...
Publication date: Available online 5 June 2020Source: American Journal of Kidney DiseasesAuthor(s): An S. De Vriese, Marijke Reynders
CONCLUSION: A significant rise in cerebral oxygenation was observed following the manual compression of arteriovenous fistula. Therefore, the arteriovenous fistula could have a role in impaired cerebral oxygenation in hemodialysis patients. PMID: 32489138 [PubMed - as supplied by publisher]
CONCLUSION: depressive symptoms are associated with burden of comorbidities, greater number of disease complications, hemodialytic intercurrences and functional dependence. Physical exercise practice can be an effective care strategy. PMID: 32490957 [PubMed - in process]
(ERA-EDTA) Analysis of a Spanish experience shows that COVID-19 is frequent in hemodialysis patients, who appear to be at risk for worse outcome. A dramatic finding from the own experience, register and published papers from Spain is that the risk of dialysis patients dying of COVID-19 is very high at 1:4. These patients require special protection, and routine unconditional tests should be carried out on patients and staff in dialysis units.
We read with great interest the study by Smyth B, et al.,1 which performed a sub-analysis in 95 participants from the ACTIVE Dialysis trial, who had cardiac magnetic resonance imaging (MRI), and showed that extended dialysis (median 24 h/week) was associated with reduction in LV mass index (LVMI) and improved ejection fraction (EF), but similar LV end-diastolic volume (EDV) compared with standard dialysis (median 12 h/week) over a 12-month follow-up period. Studies using cardiac MRI in hemodialysis patients are scarce, in part because this method is less widely used in daily practice compared with echocardiography.
Conditions: Hemodialysis Access Failure; Hemodialysis Complication Intervention: Procedure: AVF puncture Sponsor: Shanghai Zhongshan Hospital Not yet recruiting
No abstract available
EQUISTREAM¿ XK Long-Term Hemodialysis Catheter. REF/UDI:5913190/(01)00801741013836; 16F
Patients with end-stage renal disease undergoing chronic hemodialysis (HD) are at high risk to develop tuberculosis (TB) associated with a high mortality rate. TB diagnosis is often delayed due to non-specific...