title: Relative blood volume monitoring during hemodialysis in end stage renal disease patients.
abstract: A crucial point in the haemodialysis (HD) treatment is the reliable assessment of hydration status. An inadequate removed volume may lead to chronic fluid overload which can lead to hypertension, left ventricular hypertrophy and heart failure. Therefore, the estimation of the hydration state and the management of a well-tolerated water removal is an important challenge. This exploratory study aims at identifying new parameters obtained from continuous Blood Volume Monitoring (BVM) allowing a qualitative evaluation of hydration status for verifying the adequacy of HD setting parameters (e.g UFR, target dry weight). The percentage of blood volume reduction (BVR%) during HD was compared against a gold standard method for hydration status assessment. The slope of the first 30 minute of blood volume reduction (BVR) was proposed as a useful parameter to identify overhydrated patients.
authors.affiliation: Politecnico di Milano, Department of Bioengineering, P.zza Leonardo da Vinci 32, 20133, Italy. jasmine.ion@mail.polimi.it
authors.forename: Jasmine
authors.initials: J
authors.lastname: Ion Titapiccolo
authors.forename: Manuela
authors.initials: M
authors.lastname: Ferrario
authors.forename: Francesco
authors.initials: F
authors.lastname: Garzotto
authors.forename: Dinna
authors.initials: D
authors.lastname: Cruz
authors.forename: Ulrich
authors.initials: U
authors.lastname: Moissl
authors.forename: Ciro
authors.initials: C
authors.lastname: Tetta
authors.forename: Claudio
authors.initials: C
authors.lastname: Ronco
authors.forename: Maria G
authors.initials: MG
authors.lastname: Signorini
authors.forename: Sergio
authors.initials: S
authors.lastname: Cerutti
mesh_terms: D000368:Aged; D001810:Blood Volume / Q000502:physiology; D001811:Blood Volume Determination / Q000379:methods*; D005260:Female; D017583:Hemodiafiltration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000503:physiopathology*; D008297:Male; D006435:Renal Dialysis / Q000379:methods*