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Critical Care
Published in: Critical Care 1/2016

Open Access 01-12-2016 | Commentary

Hypotension and hypovolemia during hemodialysis: is the usual suspect innocent?

Authors: David Berger, Jukka Takala

Published in: Critical Care | Issue 1/2016

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Abstract

Hypotension during intermittent hemodialysis is common, and has been attributed to acute volume shifts, shifts in osmolarity, electrolyte imbalance, temperature changes, altered vasoregulation, and sheer hypovolemia. Although hypovolemia may intuitively seem a likely cause for hypotension in intensive care patients, its role in the pathogenesis of intradialytic hypotension may be overestimated.
Literature
1.
Bitker L, Bayle F, Yonis H, Gobert F, Leray V, Taponnier R, et al. Prevalence and risk factors of hypotension associated with preload-dependence during intermittent hemodialysis in critically ill patients. Crit Care. 2016;20(1):1–11.CrossRef
2.
Schortgen F, Soubrier N, Delclaux C, Thuong M, Girou E, Brun-Buisson C. Hemodynamic tolerance of intermittent hemodialysis in critically ill patients: usefulness of practice guidelines. Am J Respir Crit Care Med. 2000;162(1):197-202.
3.
4.
Power A, Charitaki E, Davenport A. Changes in vascular tone occur early during hemodialysis treatments independently of volume reduction. Artif Organs. 2015. [Epub ahead of print].
5.
Takala J. Volume responsive, but does the patient need volume? Intensive Care Med. 2016. [Epub ahead of print].
6.
Magder S. Understanding central venous pressure: not a preload index? Curr Opin Crit Care. 2015;21(5):369–75.CrossRefPubMed
7.
Aneman A, Sondergaard S. Understanding the passive leg raising test. Intensive Care Med. 2016. [Epub ahead of print].
8.
Wang N, Jiang L, Zhu B, Wen Y, Xi XM. Fluid balance and mortality in critically ill patients with acute kidney injury: a multicenter prospective epidemiological study. Crit Care. 2015;19:371.CrossRefPubMedPubMedCentral
9.
Shiao CC, Wu PC, Huang TM, Lai TS, Yang WS, Wu CH, et al. Long-term remote organ consequences following acute kidney injury. Crit Care. 2015;19(1):438.CrossRefPubMedPubMedCentral
10.
Burton JO, Jefferies HJ, Selby NM, McIntyre CW. Hemodialysis-induced cardiac injury: determinants and associated outcomes. Clin J Am Soc Nephrol. 2009;4(5):914–20.CrossRefPubMedPubMedCentral
11.
Jakob SM, Ruokonen E, Vuolteenaho O, Lampainen E, Takala J. Splanchnic perfusion during hemodialysis: evidence for marginal tissue perfusion. Crit Care Med. 2001;29(7):1393–8.CrossRefPubMed
12.
Ismael S, Savalle M, Trivin C, Gillaizeau F, D’Auzac C, Faisy C. The consequences of sudden fluid shifts on body composition in critically ill patients. Crit Care. 2014;18(2):R49.CrossRefPubMedPubMedCentral
13.
Schortgen F. Hypotension during intermittent hemodialysis: new insights into an old problem. Intensive Care Med. 2003;29(10):1645-9.
Metadata
Title
Hypotension and hypovolemia during hemodialysis: is the usual suspect innocent?
Authors
David Berger
Jukka Takala
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2016
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-016-1307-4

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