Could Dry Weight Be Estimated Using Changes in Blood Viscosity in Children on Chronic Hemodialysis?
CUREUS JOURNAL OF MEDICAL SCIENCE, cilt.15, sa.11, 2023 (ESCI)
- Yayın Türü: Makale / Editöre Mektup
- Cilt numarası: 15 Sayı: 11
- Basım Tarihi: 2023
- Doi Numarası: 10.7759/cureus.48711
- Dergi Adı: CUREUS JOURNAL OF MEDICAL SCIENCE
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Gazi Üniversitesi Adresli: Evet
Özet
Kidney failure patients on chronic hemodialysis are at risk for cardiovascular complications. Dry weight (DW), one of the dialysis parameters, should be optimized to reduce the complications caused by high blood pressure. By definition, DW is the lowest weight at which patients are clinically euvolemic, not hypotensive or hypertensive after dialysis, and do not require antihypertensives. In hemodialysis patients, DW is achieved by removing fluid from the body through ultrafiltration. Although it is usually determined by trial and error in clinical practice, more objective data are needed. Echocardiography to determine the inferior vena cava diameter and collapse index, bioimpedance analysis to quantify the fluid compartments of the body and blood volume monitoring are among the options. In addition, blood viscosity measurement may be a new method to determine DW.