PMID- 3214326
OWN - NLM
STAT- MEDLINE
DCOM- 19890216
LR  - 20190828
IS  - 0160-564X (Print)
IS  - 0160-564X (Linking)
VI  - 12
IP  - 6
DP  - 1988 Dec
TI  - Continuous computerized monitoring of hemodynamic parameters during acetate 
      dialysis, bicarbonate dialysis, and acetate-free biofiltration.
PG  - 476-81
AB  - The effects of continuous, computerized, non-invasive hemodynamic monitoring on 
      the appearance of intradialytic symptoms, aided by preventive therapeutic 
      maneuvers, were evaluated in 30 critically ill patients undergoing regular 
      acetate dialysis. The hemodynamic behavior was assessed by a system that 
      interfaces a personal computer with a blood pressure monitor and to a 
      transthoracic electrical impedance-measuring instrument. Monitoring allowed us to 
      reduce significantly the frequency of some important intradialytic symptoms such 
      as nausea, vomiting, and hypotension. The same monitoring system was used acutely 
      to characterize differing hemodynamic behaviors during acetate dialysis (AD), 
      bicarbonate dialysis (BD), and acetate-free biofiltration (AFBF). AD showed a 
      prevalent vasodilation effect with a compensatory increase in heart rate and 
      higher cardiac output values, which were not sufficient to maintain blood 
      pressure stability. BD and AFBF were characterized by a more efficient 
      vasoconstrictor effect and good hemodynamic stability. AFBF, despite a 1 h 
      reduction in session length compared to BD, did not present significant 
      differences in hemodynamic response resulting from session shortness or other 
      technical changes.
FAU - Spongano, M
AU  - Spongano M
AD  - Department of Nephrology and Dialysis, M. Malpighi Hospital of Bologna, Italy.
FAU - Santoro, A
AU  - Santoro A
FAU - Ferrari, G
AU  - Ferrari G
FAU - Badiali, F
AU  - Badiali F
FAU - Rossi, M
AU  - Rossi M
FAU - Parrino, A
AU  - Parrino A
FAU - Lamberti, C
AU  - Lamberti C
FAU - Sarti, E
AU  - Sarti E
FAU - Zucchelli, P
AU  - Zucchelli P
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Artif Organs
JT  - Artificial organs
JID - 7802778
RN  - 0 (Acetates)
RN  - 0 (Bicarbonates)
RN  - 0 (Dialysis Solutions)
SB  - IM
MH  - *Acetates
MH  - *Bicarbonates
MH  - *Dialysis Solutions
MH  - Female
MH  - *Hemodynamics
MH  - *Hemofiltration
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Monitoring, Physiologic/*methods
MH  - *Renal Dialysis
EDAT- 1988/12/01 00:00
MHDA- 1988/12/01 00:01
CRDT- 1988/12/01 00:00
PHST- 1988/12/01 00:00 [pubmed]
PHST- 1988/12/01 00:01 [medline]
PHST- 1988/12/01 00:00 [entrez]
AID - 10.1111/j.1525-1594.1988.tb02807.x [doi]
PST - ppublish
SO  - Artif Organs. 1988 Dec;12(6):476-81. doi: 10.1111/j.1525-1594.1988.tb02807.x.