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Hemodynamics in Hemofiltration

  • Chapter
Hemofiltration

Abstract

Hemodynamic disturbances during end-stage renal disease (ESRD) treatment are clinically observable as changes in blood pressure, predominantly hypotension. The incidence of symptomatic hypotension during hemodialysis has increased in recent years in spite of the fact that dialysis regimes have been altered to three times weekly. The French dialysis registry reports a rise in the incidence of symptomatic hypotension from 15% in 1973 to 25% in 1979 [1–3]. This increased risk of hypotension is due to several independent factors, of which rapid fluid withdrawal during shortened treatment time seems to be the most important, but increasing age and multimorbidity of the dialysis population also seem to contribute. In fact from 1973 to 1970, patients’ mean age increased from 41 to 48 years, and mean treatment time decreased from 19 to 12 h a week [4, 5]. Increasing frequency of transplantation, mainly among the uncomplicated ESRD patient pool, constitutes an additional factor.

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  1. C. A. Baldamus
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Editors and Affiliations

  1. VA Medical Center and Univ. of California, 3350 La Jolla Village Dr., 92161, San Diego, CA, USA

    Lee W. Henderson (Associate Chief of Staff for Research) (Associate Chief of Staff for Research)

  2. Abtl. Innere Medizin — Nephrologie —, Nephrologisches Zentrum Niedersachsen, Vogelsang 105, D-3510, Hann. Münden, West Germany

    Eduard A. Quellhorst

  3. Medizinische Klinik I — Nephrologie —, Universität zu Köln, Josef-Stelzmann-Straße 9, D-5000, Köln 41, West Germany

    Conrad A. Baldamus

  4. Membrane Science, Travenol Laboratories, Inc., 60 073, Round Lake, Illinois IL, USA

    Michael J. Lysaght (Director) (Director)

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Baldamus, C.A. (1986). Hemodynamics in Hemofiltration. In: Henderson, L.W., Quellhorst, E.A., Baldamus, C.A., Lysaght, M.J. (eds) Hemofiltration. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69665-7_10

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