HAEMODYNAMIC STABILITY OF CKD PATIENTS UNDERGOING DIALYSIS AT ISOTHERMIC DIALYSATE TEMPERATURE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 22
Abstract
BACKGROUND Chronic Kidney Disease patients undergo dialysis for their ailment, due to which they experience many complications and adverse effects. One of the most important complications is haemodynamic instability (hypotension/untoward events). Many studies have shown that cool dialysate improves cardiovascular tolerance among haemodialysis patient and reduces hypotensive episodes during haemodialysis. METHODS From January 2013 to December 2013, an observational, prospective cohort study was done to determine the basal body temperature in chronic kidney disease patients who are on maintenance dialysis, using mercury thermometer and tympanic membrane thermometry, to determine the effect of isothermic dialysis (patient‘s body temperature) on haemodynamic stability. RESULTS In this study, we randomly assigned 60 Stage V CKD patients attending Nephrology OPD to the study. Out of the total of 60 patients, 44 (73.3%) were males and 16 (26.66%) were females. The major cause of CKD was hypertension (44%) followed by diabetes mellitus (29%), both diabetes and hypertension (21%), obstructive uropathy (11%) and unknown (29%). The BMI ranges from 17.5 to 30.3. The age ranges from 23 to 75 years. The mean tympanic temperature calculated was 36.54±0.232. The mean axillary temperature calculated was 36.883±0.1416. CONCLUSIONS Haemodialysis done in isothermic dialysate temperature contributes more to haemodynamic stability than haemodialysis in normal temperature in terms of reduced fluctuations and maintaining stable blood pressure.
Authors and Affiliations
Gowthaman Thiruvenkadam, Premkumar Gunaseelan
Keywords
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- EP ID EP667292
- DOI 10.18410/jebmh/2019/322
- Views 84
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