How can we improve synthomatic hypotension in hemodialysis patients: cold dialysis vs isothermic dialysis
Cómo mejorar la hipotensión sintomática en hemodiálisis: diálisis fría versus diálisis isotérmica
Rosa Ramos Sánchez, Carlos Soto Montáñez, Rosa Mestres Capdevila, Josep Jara Musté, Hernán Zequera, J Ignacio Merello, Francesc Moreso
Read
7258
Timeswas read the article
3085
Total PDF
4173
Total HTML
Share statistics
array:21 [ "pii" => "X2013251407021962" "issn" => "20132514" "doi" => " " "estado" => "S300" "fechaPublicacion" => "2007-12-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2007;27:737-41" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3719 "formatos" => array:3 [ "EPUB" => 234 "HTML" => 2541 "PDF" => 944 ] ] "Traduccion" => array:1 [ "es" => array:17 [ "pii" => "X0211699507021965" "issn" => "02116995" "doi" => " " "estado" => "S300" "fechaPublicacion" => "2007-12-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia. 2007;27:737-41" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 11686 "formatos" => array:3 [ "EPUB" => 269 "HTML" => 10242 "PDF" => 1175 ] ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Cómo mejorar la hipotensión sintomática en hemodiálisis: diálisis fría versus diálisis isotérmica" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "737" "paginaFinal" => "741" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "How can we improve synthomatic hypotension in hemodialysis patients: cold dialysis vs isothermic dialysis" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rosa Ramos Sánchez, Carlos Soto Montáñez, Rosa Mestres Capdevila, Josep Jara Musté, Hernán Zequera, J Ignacio Merello, Francesc Moreso" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Rosa Ramos Sánchez, Carlos Soto Montáñez, Rosa Mestres Capdevila, Josep Jara Musté, Hernán Zequera, J Ignacio Merello, Francesc Moreso" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "X2013251407021962" "doi" => " " "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021962?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507021965?idApp=UINPBA000064" "url" => "/02116995/0000002700000006/v0_201502091324/X0211699507021965/v0_201502091324/es/main.assets" ] ] "itemSiguiente" => array:17 [ "pii" => "X2013251407021954" "issn" => "20132514" "doi" => " " "estado" => "S300" "fechaPublicacion" => "2007-12-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2007;27:742-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3452 "formatos" => array:3 [ "EPUB" => 253 "HTML" => 2392 "PDF" => 807 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Clinical and analytical changes in hemodialysis without acetate" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "742" "paginaFinal" => "748" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cambios clínicos y analíticos al sustituir el líquido de diálisis convencional por uno sin acetato" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Elisabet Coll, Rafael Pérez-García, Patrocinio Rodríguez-Benítez, Mayra Ortega, Patricia Martínez Miguel, Rosa Jofre, Juan Manuel López-Gó" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Elisabet Coll, Rafael Pérez-García, Patrocinio Rodríguez-Benítez, Mayra Ortega, Patricia Martínez Miguel, Rosa Jofre, Juan Manuel López-Gó" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X0211699507021957" "doi" => " " "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X0211699507021957?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021954?idApp=UINPBA000064" "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407021954/v0_201502091551/en/main.assets" ] "itemAnterior" => array:17 [ "pii" => "X2013251407021997" "issn" => "20132514" "doi" => " " "estado" => "S300" "fechaPublicacion" => "2007-12-01" "documento" => "article" "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/" "subdocumento" => "fla" "cita" => "Nefrologia (English Version). 2007;27:729-36" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3478 "formatos" => array:3 [ "EPUB" => 276 "HTML" => 2395 "PDF" => 807 ] ] "en" => array:10 [ "idiomaDefecto" => true "titulo" => "Sclerosing encapsulating peritonitis: a latent threat. Changes of posture in surgery treatment" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "729" "paginaFinal" => "736" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Peritonitis esclerosante: una amenaza latente. Cambio de actitud en el tratamiento quirúrgico" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Carlos Herrero, Alvaro Molina, Carolina Lentisco, Carolina Gracia, Milagros Ortiz, Carmen Mon, Olimpia Ortega, Isabel Rodriguez" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Juan Carlos Herrero, Alvaro Molina, Carolina Lentisco, Carolina Gracia, Milagros Ortiz, Carmen Mon, Olimpia Ortega, Isabel Rodriguez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "X021169950702199X" "doi" => " " "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X021169950702199X?idApp=UINPBA000064" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021997?idApp=UINPBA000064" "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407021997/v0_201502091551/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "titulo" => "How can we improve synthomatic hypotension in hemodialysis patients: cold dialysis vs isothermic dialysis" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "737" "paginaFinal" => "741" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rosa Ramos Sánchez, Carlos Soto Montáñez, Rosa Mestres Capdevila, Josep Jara Musté, Hernán Zequera, J Ignacio Merello, Francesc Moreso" "autores" => array:1 [ 0 => array:1 [ "nombre" => "Rosa Ramos Sánchez, Carlos Soto Montáñez, Rosa Mestres Capdevila, Josep Jara Musté, Hernán Zequera, J Ignacio Merello, Francesc Moreso" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Cómo mejorar la hipotensión sintomática en hemodiálisis: diálisis fría versus diálisis isotérmica" ] ] "pdfFichero" => "P-E-S-A5003-EN.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec436131" "palabras" => array:1 [ 0 => "Hemodiálisis; hipotensión; diálisis isotérmica; monitor de temperatura" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec436132" "palabras" => array:1 [ 0 => "Hemodialysis; hypotension; blood temperature monitoring; dialysate temperature" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "Background: Symptomatic hypotension is the most frequent acute complication affecting patients during chronic hemodialysis treatment sessions. Many reports have demonstrated that the use of cool dialysate has a protective effect on blood pressure during hemodialysis treatments. In the present study, we investigated whether preventing the hyperthermic response had favourable effects on hemodynamic stability during the hemodialysis procedure while affording good tolerance to patients. Methods: We investigated the effect of thermal control of dialysate on hemodynamic stability in hypotension-prone patients in our center. Patients were eligible for the study if they had symptomatic hypotensive episodes (> 3/12session/ month) during the screening phase. The study was designed with two phases for the same selected patients and two treatment arms, each phase lasting 4 weeks. In the first phase, we adjusted dialysate temperature on 36 ºC for 12 sessions (cold dialysis) and in the second phase we used a device allowing the regulation of thermal balance (Blood Temperature Monitor; Fresenius Medical Care, Bad Homberg, Germany), that keep body temperature unchanged (isothermic dialysis). Results: Nine HD patients were enrolled and completed the study. During the screening phase the mean ultrafiltration was 4 ¿1% of dry weight, and blood pressure decreased from 99¿16 to 80¿16 mm Hg (p <0 001 in 5 0 61617 1 7 sessions of 12 treatments were complicated by hypotension the first and second phase we observed a decrease with symptomatic versus 2 6 y 8 p <0 01 both procedures: cold dialysis and isothermic was well tolerated by patients conclusion: results show that active control of body temperature can significantly improve intradialytic tolerance in hypotension-prone</0> </0>" ] "es" => array:1 [ "resumen" => "Introducción: La hipotensión sintomática es la complicación aguda más frecuente que afecta a los pacientes durante las sesiones de hemodiálisis. Varios trabajos han demostrado que el uso de baja temperatura en el baño de diálisis protege de esta hipotensión en pacientes susceptibles de ella. En nuestro estudio, analizamos si la prevención de la reacción hipertérmica de la sesión de hemodiálisis tendría una respuesta favorable en la estabilidad hemodinámica de los pacientes permitiéndoles una buena tolerancia. Métodos: Analizamos el efecto del control de temperatura del dializado en la estabilidad hemodinámica de pacientes predispuestos a hipotensión sintomática en nuestro centro. En la fase de screening seleccionamos aquellos pacientes que tuvieron más de tres episodios hipotensivos en las 12 sesiones del mes. Posteriormente los mismos pacientes pasaron a las siguientes dos fases de 4 semanas cada una. En la fase 1, ajustamos la temperatura del baño a 36º C de forma constante para las 12 sesiones (diálisis fría) y en la segunda fase, utilizamos un (Blood Temperature Monitor; Fresenius Medical Care, Bad Homberg, Germany), que permite mantener constante la temperatura corporal (diálisis isotérmica). Resultados: Nueve pacientes fueron incluidos y finalizaron el estudio. Durante la fase de screening la sustracción media fue del 4 ± 1% del 16 mmHg ± 16 a 80 ± peso seco, disminuyendo la tensión arterial media desde 99 (p < 1,7 sesiones de 12 ± 0,001) y presentando hipotensión sintomática en 5,0. Tanto en la fase 1 como en la 2 observamos un descenso de los tratamientos 1,7 ± 1,6 y 2,8 ± 1,7 versus 2,7 ± complicados con hipotensión sintomática (5,0 p < 0,01). Ambas técnicas: Diálisis fría tanto como diálisis isotérmica fueron bien toleradas por los pacientes. Conclusión: Los resultados muestran que un control activo de la temperatura corporal puede mejorar de forma significativa la tolerancia intradialítica en pacientes predispuestos a la hipotensión sintomática." ] ] ] "idiomaDefecto" => "en" "url" => "/20132514/0000002700000006/v0_201502091551/X2013251407021962/v0_201502091551/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/20132514/0000002700000006/v0_201502091551/X2013251407021962/v0_201502091551/en/P-E-S-A5003-EN.pdf?idApp=UINPBA000064&text.app=https://revistanefrologia.com/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/X2013251407021962?idApp=UINPBA000064" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 21 | 27 |
| 2024 October | 38 | 55 | 93 |
| 2024 September | 38 | 50 | 88 |
| 2024 August | 64 | 89 | 153 |
| 2024 July | 39 | 46 | 85 |
| 2024 June | 32 | 57 | 89 |
| 2024 May | 42 | 63 | 105 |
| 2024 April | 37 | 42 | 79 |
| 2024 March | 34 | 25 | 59 |
| 2024 February | 33 | 47 | 80 |
| 2024 January | 31 | 45 | 76 |
| 2023 December | 16 | 44 | 60 |
| 2023 November | 28 | 41 | 69 |
| 2023 October | 21 | 62 | 83 |
| 2023 September | 21 | 46 | 67 |
| 2023 August | 27 | 42 | 69 |
| 2023 July | 25 | 48 | 73 |
| 2023 June | 27 | 37 | 64 |
| 2023 May | 34 | 45 | 79 |
| 2023 April | 14 | 21 | 35 |
| 2023 March | 31 | 22 | 53 |
| 2023 February | 33 | 27 | 60 |
| 2023 January | 14 | 25 | 39 |
| 2022 December | 38 | 38 | 76 |
| 2022 November | 22 | 41 | 63 |
| 2022 October | 28 | 63 | 91 |
| 2022 September | 27 | 40 | 67 |
| 2022 August | 40 | 41 | 81 |
| 2022 July | 21 | 41 | 62 |
| 2022 June | 29 | 40 | 69 |
| 2022 May | 21 | 44 | 65 |
| 2022 April | 28 | 41 | 69 |
| 2022 March | 35 | 49 | 84 |
| 2022 February | 20 | 39 | 59 |
| 2022 January | 25 | 41 | 66 |
| 2021 December | 29 | 55 | 84 |
| 2021 November | 28 | 46 | 74 |
| 2021 October | 30 | 48 | 78 |
| 2021 September | 29 | 53 | 82 |
| 2021 August | 37 | 46 | 83 |
| 2021 July | 33 | 38 | 71 |
| 2021 June | 20 | 22 | 42 |
| 2021 May | 21 | 27 | 48 |
| 2021 April | 32 | 35 | 67 |
| 2021 March | 35 | 25 | 60 |
| 2021 February | 36 | 30 | 66 |
| 2021 January | 24 | 21 | 45 |
| 2020 December | 14 | 11 | 25 |
| 2020 November | 26 | 19 | 45 |
| 2020 October | 12 | 24 | 36 |
| 2020 September | 22 | 15 | 37 |
| 2020 August | 27 | 13 | 40 |
| 2020 July | 18 | 11 | 29 |
| 2020 June | 21 | 17 | 38 |
| 2020 May | 45 | 20 | 65 |
| 2020 April | 33 | 21 | 54 |
| 2020 March | 25 | 12 | 37 |
| 2020 February | 30 | 29 | 59 |
| 2020 January | 31 | 36 | 67 |
| 2019 December | 35 | 32 | 67 |
| 2019 November | 31 | 31 | 62 |
| 2019 October | 17 | 24 | 41 |
| 2019 September | 27 | 30 | 57 |
| 2019 August | 16 | 25 | 41 |
| 2019 July | 17 | 27 | 44 |
| 2019 June | 17 | 20 | 37 |
| 2019 May | 18 | 26 | 44 |
| 2019 April | 47 | 49 | 96 |
| 2019 March | 8 | 27 | 35 |
| 2019 February | 11 | 16 | 27 |
| 2019 January | 10 | 14 | 24 |
| 2018 December | 31 | 33 | 64 |
| 2018 November | 41 | 32 | 73 |
| 2018 October | 32 | 31 | 63 |
| 2018 September | 30 | 21 | 51 |
| 2018 August | 21 | 21 | 42 |
| 2018 July | 21 | 16 | 37 |
| 2018 June | 25 | 13 | 38 |
| 2018 May | 26 | 14 | 40 |
| 2018 April | 24 | 11 | 35 |
| 2018 March | 24 | 18 | 42 |
| 2018 February | 20 | 14 | 34 |
| 2018 January | 33 | 20 | 53 |
| 2017 December | 32 | 21 | 53 |
| 2017 November | 9 | 22 | 31 |
| 2017 October | 21 | 15 | 36 |
| 2017 September | 33 | 22 | 55 |
| 2017 August | 20 | 18 | 38 |
| 2017 July | 24 | 22 | 46 |
| 2017 June | 10 | 16 | 26 |
| 2017 May | 31 | 17 | 48 |
| 2017 April | 35 | 19 | 54 |
| 2017 March | 16 | 5 | 21 |
| 2017 February | 16 | 28 | 44 |
| 2017 January | 20 | 17 | 37 |
| 2016 December | 33 | 10 | 43 |
| 2016 November | 31 | 13 | 44 |
| 2016 October | 50 | 28 | 78 |
| 2016 September | 77 | 21 | 98 |
| 2016 August | 129 | 15 | 144 |
| 2016 July | 126 | 19 | 145 |
| 2016 June | 97 | 0 | 97 |
| 2016 May | 153 | 0 | 153 |
| 2016 April | 93 | 0 | 93 |
| 2016 March | 67 | 0 | 67 |
| 2016 February | 81 | 0 | 81 |
| 2016 January | 108 | 0 | 108 |
| 2015 December | 113 | 0 | 113 |
| 2015 November | 84 | 0 | 84 |
| 2015 October | 91 | 0 | 91 |
| 2015 September | 82 | 0 | 82 |
| 2015 August | 71 | 0 | 71 |
| 2015 July | 57 | 0 | 57 |
| 2015 June | 40 | 0 | 40 |
| 2015 May | 55 | 0 | 55 |
| 2015 April | 9 | 0 | 9 |
Show all
