[A hemodialysis bath with bicarbonate improves comfort and ultrafiltration].
To verify if bicarbonate dialysis actually improves the dialytic tolerance of acetate intolerant patients, we have measured the incidence of dialysis with side effects such as headache, nausea, vomiting, hypotension, post-dialytic fatigue at 180 days interval in 2 groups of patients. The first with a good tolerance to acetate, the other with a bad tolerance acetate but put meanwhile for 90 days on a bicarbonate dialysis. While the incidence of side effects did not change in the first group, it decreased by 75% in the second, in spite of a greater weight loss. Thus bicarbonate improves the dialytic tolerance in patients intolerant to acetate as well as ultrafiltration.
D000085:Acetates / Q000627:therapeutic use; D001639:Bicarbonates / Q000494:pharmacology / Q000627:therapeutic use*; D001835:Body Weight / Q000187:drug effects; D004361:Drug Tolerance; D005221:Fatigue / Q000209:etiology; D006261:Headache / Q000209:etiology; D006801:Humans; D009325:Nausea / Q000209:etiology; D006435:Renal Dialysis; D014462:Ultrafiltration / Q000009:adverse effects*
D000085:Acetates; D001639:Bicarbonates
Le bain d'hémodialyse avec bicarbonate améliore le confort et l'ultrafiltration.