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Historical Perspectives

Free Access

Dialysis, Ultrafiltration, and Blood Pressure

Bergström J. · Asaba H. · Fürst P. · Oulès R.

Author affiliations

St Erik’s Hospital, Stockholm, Sweden

Corresponding Author

Hiroyuki Asaba, MD, PhD

Kohnan Hospital

Asaba Medical Research Foundation

4584, 2-Chome, Tai, Tamano City 706-0001 (Japan)

Tel. +81 863 32 11 22, Fax +81 863 32 16 13, E-Mail Konan@tamano.or.jp

Related Articles for ""

Blood Purif 2006;24:222–229

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Abstract

The effect of ultrafiltration on blood pressure was compared in six patients with problems of overhydration during single-pass dialysis, ultrafiltration only (the fluid bypassing the dialyser) and recirculation dialysis (using the RP 6 dialyser and the 75 l Rodial system). Adequate ultrafiltration during single-pass dialysis was hampered by symptomatic hypotension. However, during recirculation dialysis as well as during ultrafiltration without dialysis much more rapid ultrafiltration was tolerated without a fall in blood pressure. A considerable fall in plasma osmolality occurred with single-pass dialysis, whereas only a small decrease occurred with recirculation dialysis and no change with ultrafiltration only. We conclude that a rapid fall in plasma osmolality interferes with blood pressure regulation and that ultrafiltration is far better tolerated provided that osmotic shifts are avoided or minimised.

© 2006 S. Karger AG, Basel


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Article / Publication Details

First-Page Preview
Abstract of Historical Perspectives

Published online: February 15, 2006
Issue release date: February 2006

Number of Print Pages: 8
Number of Figures: 3
Number of Tables: 0

ISSN: 0253-5068 (Print)
eISSN: 1421-9735 (Online)

For additional information: https://www.karger.com/BPU


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