Safety analysis of intermittent hemodialysis in patients with continuous flow left ventricular assist devices.
作者： Mohammed A. Quader , Dhiren Kumar , Keyur B. Shah , Yahya I. Fatani , Gundars Katlaps
DOI: 10.1111/HDI.12073
关键词: Hemodialysis 、 Anesthesia 、 Surgery 、 Blood flow 、 Medicine 、 Adverse effect 、 Dialysis 、 Pulsatile flow 、 Continuous flow 、 Asymptomatic 、 Blood pressure
摘要: Dialysis centers adopt a cautious approach when it comes to performing intermittent hemodialysis (HD) on patients with continuous flow (CF) left ventricular assist devices (LVADs) because of the potential for volume flux-related complications and absence pulsatile blood pressure monitoring. Many have remain hospitalized inability dialysis accept them outpatient dialysis. In this study, effect HD was observed in such patients. Between June 2009 October 2012, 139 received LVADs, which 10 (7%) required postoperatively. The mean age 53 ± 14 years 90% were men. A total 281 sessions administered amounting 1025 hours systolic monitored Doppler device 97 ± 18 mmHg. durations averaged 218 ± 18 minutes. Mean rate 334 ± 38 cc/min, 2.6 ± 1.1 L ultrafiltrated during each session. Only 15 (5.3%) interrupted or terminated six reasons termination symptomatic hypotension--6 (2.1%), asymptomatic hypotension--3 (1%), tachycardia--1 (0.36%), machine malfunction--2 (0.7%), low phosphorus--2 abdominal cramps--1 (0.36%). Volume expansion necessary three occasions. Low-flow alarms registered two (0.71%) sessions. results showed no serious adverse effects deaths.
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