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Haemodialysis decreases finger pressures independent of artificial kidney blood flow
ABSTRACT Background: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access‐induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access. Methods: A questi...
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| Published in: | Nephrology (Carlton, Vic.) Vic.), 2010-08, Vol.15 (5), p.555-559 |
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| container_title | Nephrology (Carlton, Vic.) |
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| creator | VAN HOEK, FRANK SCHELTINGA, MARC R HOUTERMAN, SASKIA BEERENHOUT, CHARLES H |
| description | ABSTRACT
Background: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access‐induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access.
Methods: A questionnaire identified 10 patients that subjectively experienced ischaemic symptoms during haemodialysis. Systolic blood pressure, heart rate, finger pressure (Pdig), finger temperature (Tdig), oxygen saturation and ischaemic scores were monitored during two different arterial blood flow dialysis sessions.
Results: Before dialysis, Pdig and Tdig of the arteriovenous access hand were significantly lower compared with the other hand. Haemodialysis induced a drop of Pdig in both hands. All changes in Pdig occurred independent of the artificial kidney's blood flow level.
Conclusion: Systemic hypotension following onset of haemodialysis further intensifies an already diminished hand perfusion. Measures preventing dialytic hypotension will likely attenuate symptoms associated with haemodialysis access‐induced distal ischaemia during haemodialysis.
Digital ischaemia associated with fistulae is a common problem – this paper examines local blood flows and the influence of dialysis blood flow rates on this. |
| doi_str_mv | 10.1111/j.1440-1797.2009.01271.x |
| format | article |
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Background: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access‐induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access.
Methods: A questionnaire identified 10 patients that subjectively experienced ischaemic symptoms during haemodialysis. Systolic blood pressure, heart rate, finger pressure (Pdig), finger temperature (Tdig), oxygen saturation and ischaemic scores were monitored during two different arterial blood flow dialysis sessions.
Results: Before dialysis, Pdig and Tdig of the arteriovenous access hand were significantly lower compared with the other hand. Haemodialysis induced a drop of Pdig in both hands. All changes in Pdig occurred independent of the artificial kidney's blood flow level.
Conclusion: Systemic hypotension following onset of haemodialysis further intensifies an already diminished hand perfusion. Measures preventing dialytic hypotension will likely attenuate symptoms associated with haemodialysis access‐induced distal ischaemia during haemodialysis.
Digital ischaemia associated with fistulae is a common problem – this paper examines local blood flows and the influence of dialysis blood flow rates on this.</description><identifier>ISSN: 1320-5358</identifier><identifier>EISSN: 1440-1797</identifier><identifier>DOI: 10.1111/j.1440-1797.2009.01271.x</identifier><identifier>PMID: 20649876</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Aged ; Arteriovenous Shunt, Surgical - adverse effects ; Blood Pressure ; Body Temperature ; Female ; Fingers - blood supply ; haemodialysis ; HAIDI ; Heart Rate ; Humans ; hypotension ; Hypotension - blood ; Hypotension - etiology ; Hypotension - physiopathology ; ischaemia ; Ischemia - blood ; Ischemia - etiology ; Ischemia - physiopathology ; Male ; Middle Aged ; Netherlands ; Oxygen - blood ; Regional Blood Flow ; Renal Circulation ; Renal Dialysis - adverse effects ; Renal Dialysis - methods ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Nephrology (Carlton, Vic.), 2010-08, Vol.15 (5), p.555-559</ispartof><rights>2010 The Authors. Journal compilation © 2010 Asian Pacific Society of Nephrology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4061-985637d5925d9af81a8e11349e76e2538734bedb8c3c3537f0d0a043be8419b73</citedby><cites>FETCH-LOGICAL-c4061-985637d5925d9af81a8e11349e76e2538734bedb8c3c3537f0d0a043be8419b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20649876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VAN HOEK, FRANK</creatorcontrib><creatorcontrib>SCHELTINGA, MARC R</creatorcontrib><creatorcontrib>HOUTERMAN, SASKIA</creatorcontrib><creatorcontrib>BEERENHOUT, CHARLES H</creatorcontrib><title>Haemodialysis decreases finger pressures independent of artificial kidney blood flow</title><title>Nephrology (Carlton, Vic.)</title><addtitle>Nephrology (Carlton)</addtitle><description>ABSTRACT
Background: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access‐induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access.
Methods: A questionnaire identified 10 patients that subjectively experienced ischaemic symptoms during haemodialysis. Systolic blood pressure, heart rate, finger pressure (Pdig), finger temperature (Tdig), oxygen saturation and ischaemic scores were monitored during two different arterial blood flow dialysis sessions.
Results: Before dialysis, Pdig and Tdig of the arteriovenous access hand were significantly lower compared with the other hand. Haemodialysis induced a drop of Pdig in both hands. All changes in Pdig occurred independent of the artificial kidney's blood flow level.
Conclusion: Systemic hypotension following onset of haemodialysis further intensifies an already diminished hand perfusion. Measures preventing dialytic hypotension will likely attenuate symptoms associated with haemodialysis access‐induced distal ischaemia during haemodialysis.
Digital ischaemia associated with fistulae is a common problem – this paper examines local blood flows and the influence of dialysis blood flow rates on this.</description><subject>Aged</subject><subject>Arteriovenous Shunt, Surgical - adverse effects</subject><subject>Blood Pressure</subject><subject>Body Temperature</subject><subject>Female</subject><subject>Fingers - blood supply</subject><subject>haemodialysis</subject><subject>HAIDI</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>hypotension</subject><subject>Hypotension - blood</subject><subject>Hypotension - etiology</subject><subject>Hypotension - physiopathology</subject><subject>ischaemia</subject><subject>Ischemia - blood</subject><subject>Ischemia - etiology</subject><subject>Ischemia - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Oxygen - blood</subject><subject>Regional Blood Flow</subject><subject>Renal Circulation</subject><subject>Renal Dialysis - adverse effects</subject><subject>Renal Dialysis - methods</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>1320-5358</issn><issn>1440-1797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNqNkD1PwzAQhi0E4vsvIG9MCec4jp2BAVV8I2AAIbFYTnxBLmlS7FZt_z0Ohc54OJ9073MnPYRQBimL72ycsjyHhMlSphlAmQLLJEuXW2R_M9iOPc8gEVyoPXIQwhiAyaxgu2QvgyIvlSz2ycuNwUlvnWlXwQVqsfZoAgbauO4DPZ16DGEeC3WdxSnG0s1o31DjZ65xdQTpp7MdrmjV9r2lTdsvjshOY9qAx7__IXm9unwZ3SQPT9e3o4uHpM6hYEmpRMGlFWUmbGkaxYxCxnheoiwwE1xJnldoK1XzmgsuG7BgIOcVqpyVleSH5HS9d-r7rzmGmZ64UGPbmg77edCRB1AiUzGp1sna9yF4bPTUu4nxK81AD0r1WA_m9GBOD0r1j1K9jOjJ75F5NUG7Af8cxsD5OrBwLa7-vVg_Xj4PXeSTNe_CDJcb3vhPXUguhX57vNYFv7-7h3emR_wbQdyT_Q</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>VAN HOEK, FRANK</creator><creator>SCHELTINGA, MARC R</creator><creator>HOUTERMAN, SASKIA</creator><creator>BEERENHOUT, CHARLES H</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Haemodialysis decreases finger pressures independent of artificial kidney blood flow</title><author>VAN HOEK, FRANK ; SCHELTINGA, MARC R ; HOUTERMAN, SASKIA ; BEERENHOUT, CHARLES H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4061-985637d5925d9af81a8e11349e76e2538734bedb8c3c3537f0d0a043be8419b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Arteriovenous Shunt, Surgical - adverse effects</topic><topic>Blood Pressure</topic><topic>Body Temperature</topic><topic>Female</topic><topic>Fingers - blood supply</topic><topic>haemodialysis</topic><topic>HAIDI</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>hypotension</topic><topic>Hypotension - blood</topic><topic>Hypotension - etiology</topic><topic>Hypotension - physiopathology</topic><topic>ischaemia</topic><topic>Ischemia - blood</topic><topic>Ischemia - etiology</topic><topic>Ischemia - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Oxygen - blood</topic><topic>Regional Blood Flow</topic><topic>Renal Circulation</topic><topic>Renal Dialysis - adverse effects</topic><topic>Renal Dialysis - methods</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VAN HOEK, FRANK</creatorcontrib><creatorcontrib>SCHELTINGA, MARC R</creatorcontrib><creatorcontrib>HOUTERMAN, SASKIA</creatorcontrib><creatorcontrib>BEERENHOUT, CHARLES H</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nephrology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>VAN HOEK, FRANK</au><au>SCHELTINGA, MARC R</au><au>HOUTERMAN, SASKIA</au><au>BEERENHOUT, CHARLES H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haemodialysis decreases finger pressures independent of artificial kidney blood flow</atitle><jtitle>Nephrology (Carlton, Vic.)</jtitle><addtitle>Nephrology (Carlton)</addtitle><date>2010-08</date><risdate>2010</risdate><volume>15</volume><issue>5</issue><spage>555</spage><epage>559</epage><pages>555-559</pages><issn>1320-5358</issn><eissn>1440-1797</eissn><abstract>ABSTRACT
Background: During haemodialysis, some patients experience intensification of symptoms of haemodialysis access‐induced distal ischaemia. Aim of this study is to compare the effects of two different regimens of arterial blood flow in patients with an arteriovenous access.
Methods: A questionnaire identified 10 patients that subjectively experienced ischaemic symptoms during haemodialysis. Systolic blood pressure, heart rate, finger pressure (Pdig), finger temperature (Tdig), oxygen saturation and ischaemic scores were monitored during two different arterial blood flow dialysis sessions.
Results: Before dialysis, Pdig and Tdig of the arteriovenous access hand were significantly lower compared with the other hand. Haemodialysis induced a drop of Pdig in both hands. All changes in Pdig occurred independent of the artificial kidney's blood flow level.
Conclusion: Systemic hypotension following onset of haemodialysis further intensifies an already diminished hand perfusion. Measures preventing dialytic hypotension will likely attenuate symptoms associated with haemodialysis access‐induced distal ischaemia during haemodialysis.
Digital ischaemia associated with fistulae is a common problem – this paper examines local blood flows and the influence of dialysis blood flow rates on this.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>20649876</pmid><doi>10.1111/j.1440-1797.2009.01271.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Nephrology (Carlton, Vic.), 2010-08, Vol.15 (5), p.555-559 |
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| source | Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list) |
| subjects | Aged Arteriovenous Shunt, Surgical - adverse effects Blood Pressure Body Temperature Female Fingers - blood supply haemodialysis HAIDI Heart Rate Humans hypotension Hypotension - blood Hypotension - etiology Hypotension - physiopathology ischaemia Ischemia - blood Ischemia - etiology Ischemia - physiopathology Male Middle Aged Netherlands Oxygen - blood Regional Blood Flow Renal Circulation Renal Dialysis - adverse effects Renal Dialysis - methods Surveys and Questionnaires Time Factors |
| title | Haemodialysis decreases finger pressures independent of artificial kidney blood flow |
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