Dialyse à double profil: ultrafiltration et sodium variables description et validation clinique chez l'enfant [Double profile dialysis: ultrafiltration and sodium variable description and clinical validation in the child].

Details

Serval ID
serval:BIB_B9B6E992FC5B
Type
Article: article from journal or magazin.
Collection
Publications
Title
Dialyse à double profil: ultrafiltration et sodium variables description et validation clinique chez l'enfant [Double profile dialysis: ultrafiltration and sodium variable description and clinical validation in the child].
Journal
Néphrologie
Author(s)
Fischbach M., Mengus L., Simeoni U., Duringer R., Mark J., De Geeter B., Hamel G., Geisert J.
ISSN
0250-4960 (Print)
ISSN-L
0250-4960
Publication state
Published
Issued date
1991
Peer-reviewed
Oui
Volume
12
Number
4
Pages
179-183
Language
french
Notes
Publication types: English Abstract ; Journal Article Publication Status: ppublish
Abstract
Despite significant technical improvements (bicarbonate dialysate, volumetric ultrafiltration control) high intradialytic ultrafiltration is troublesome in children, specially in the proportion of patients presenting a normal or low blood pressure even with overweight. We used, in this group of children (overhydratated without vascular repercution) a modelling of both sodium and ultrafiltration during dialysis, in order to achieve dry body weight without increasing session time despite hypotension risks. The usefulness and practicability of sodium and ultrafiltration modelling together during dialysis in children is analysed in a short time study (for plasma volume changes calculation) and in a long term follow up study over a year (for clinical tolerance). Today, we reserve this form of dialysis only for a single session needed by overhydratation (more than 5% of dry body weight) in order to achieve dry body weight maintaining dialysis session time constant without increasing side effects (hypotension).
Keywords
Blood, Blood Pressure, Body Weight, Child, Hemodialysis Solutions, Humans, Osmolar Concentration, Plasma Volume, Renal Dialysis/methods, Sodium/analysis, Sodium/blood, Ultrafiltration
Pubmed
Web of science
Create date
22/02/2015 9:23
Last modification date
20/08/2019 15:27
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