Measurement of fluid volume shifts during hemodialysis by A-mode ultrasonography

Jan Schumacher; Peter Rob; Burkhard Kreft; Anke Engelke; Matthias Heringlake; Karl F. Klotz

doi:10.1159/000014432

Measurement of fluid volume shifts during hemodialysis by A-mode ultrasonography

Jan Schumacher^*, Peter Rob, Burkhard Kreft, Anke Engelke, Matthias Heringlake, Karl F. Klotz

^*Corresponding author for this work

Clinic of Anesthesiology

8 Citations (Scopus)

Abstract

Background: The rate of intercompartmental fluid volume changes during hemodialysis (HD) is a major determinant of dialysis-induced hypotension and lacks direct monitoring. The aim of the study was to evaluate the feasibility of tissue thickness (TT) measurement in monitoring the mobilization of interstitial fluids during HD. Methods: We studied the intradialytic changes in forehead TT and inferior vena cava diameter (IVCD) in 20 patients. Plasma refilling was calculated from changes in hematocrit (Hct) and ultrafiltration rates. Results: During ultrafiltration of 2,437 ± 117 ml (mean ± SEM), Hct increased significantly from 27.9 ± 0.7 to 30.0 ± 0.9%. IVCD decreased significantly from 9.7 ± 0.2 to 6.1 ± 0.4 mm/m². We found a simultaneously pronounced reduction in TT from 4.46 ± 0.12 to 3.78 ± 0.12 mm (≥15.3%) with a significant correlation to plasma refilling (0.613). Conclusion: Volume changes in the peripheral shell tissues during HD can be monitored directly and noninvasively by A-mode ultrasound. Copyright (C) 2000 S. Karger AG, Basel.

Original language	English
Journal	Blood Purification
Volume	18
Issue number	2
Pages (from-to)	103-109
Number of pages	7
ISSN	0253-5068
DOIs	https://doi.org/10.1159/000014432
Publication status	Published - 2000

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@article{bc18a8aa76d44a3289fbb09369e8a34a,

title = "Measurement of fluid volume shifts during hemodialysis by A-mode ultrasonography",

abstract = "Background: The rate of intercompartmental fluid volume changes during hemodialysis (HD) is a major determinant of dialysis-induced hypotension and lacks direct monitoring. The aim of the study was to evaluate the feasibility of tissue thickness (TT) measurement in monitoring the mobilization of interstitial fluids during HD. Methods: We studied the intradialytic changes in forehead TT and inferior vena cava diameter (IVCD) in 20 patients. Plasma refilling was calculated from changes in hematocrit (Hct) and ultrafiltration rates. Results: During ultrafiltration of 2,437 ± 117 ml (mean ± SEM), Hct increased significantly from 27.9 ± 0.7 to 30.0 ± 0.9%. IVCD decreased significantly from 9.7 ± 0.2 to 6.1 ± 0.4 mm/m2. We found a simultaneously pronounced reduction in TT from 4.46 ± 0.12 to 3.78 ± 0.12 mm (≥15.3%) with a significant correlation to plasma refilling (0.613). Conclusion: Volume changes in the peripheral shell tissues during HD can be monitored directly and noninvasively by A-mode ultrasound. Copyright (C) 2000 S. Karger AG, Basel.",

author = "Jan Schumacher and Peter Rob and Burkhard Kreft and Anke Engelke and Matthias Heringlake and Klotz, {Karl F.}",

year = "2000",

doi = "10.1159/000014432",

language = "English",

volume = "18",

pages = "103--109",

journal = "Blood Purification",

issn = "0253-5068",

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T1 - Measurement of fluid volume shifts during hemodialysis by A-mode ultrasonography

AU - Schumacher, Jan

AU - Rob, Peter

AU - Kreft, Burkhard

AU - Engelke, Anke

AU - Heringlake, Matthias

AU - Klotz, Karl F.

PY - 2000

Y1 - 2000

N2 - Background: The rate of intercompartmental fluid volume changes during hemodialysis (HD) is a major determinant of dialysis-induced hypotension and lacks direct monitoring. The aim of the study was to evaluate the feasibility of tissue thickness (TT) measurement in monitoring the mobilization of interstitial fluids during HD. Methods: We studied the intradialytic changes in forehead TT and inferior vena cava diameter (IVCD) in 20 patients. Plasma refilling was calculated from changes in hematocrit (Hct) and ultrafiltration rates. Results: During ultrafiltration of 2,437 ± 117 ml (mean ± SEM), Hct increased significantly from 27.9 ± 0.7 to 30.0 ± 0.9%. IVCD decreased significantly from 9.7 ± 0.2 to 6.1 ± 0.4 mm/m2. We found a simultaneously pronounced reduction in TT from 4.46 ± 0.12 to 3.78 ± 0.12 mm (≥15.3%) with a significant correlation to plasma refilling (0.613). Conclusion: Volume changes in the peripheral shell tissues during HD can be monitored directly and noninvasively by A-mode ultrasound. Copyright (C) 2000 S. Karger AG, Basel.

AB - Background: The rate of intercompartmental fluid volume changes during hemodialysis (HD) is a major determinant of dialysis-induced hypotension and lacks direct monitoring. The aim of the study was to evaluate the feasibility of tissue thickness (TT) measurement in monitoring the mobilization of interstitial fluids during HD. Methods: We studied the intradialytic changes in forehead TT and inferior vena cava diameter (IVCD) in 20 patients. Plasma refilling was calculated from changes in hematocrit (Hct) and ultrafiltration rates. Results: During ultrafiltration of 2,437 ± 117 ml (mean ± SEM), Hct increased significantly from 27.9 ± 0.7 to 30.0 ± 0.9%. IVCD decreased significantly from 9.7 ± 0.2 to 6.1 ± 0.4 mm/m2. We found a simultaneously pronounced reduction in TT from 4.46 ± 0.12 to 3.78 ± 0.12 mm (≥15.3%) with a significant correlation to plasma refilling (0.613). Conclusion: Volume changes in the peripheral shell tissues during HD can be monitored directly and noninvasively by A-mode ultrasound. Copyright (C) 2000 S. Karger AG, Basel.

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DO - 10.1159/000014432

M3 - Journal articles

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AN - SCOPUS:0033866930

SN - 0253-5068

VL - 18

SP - 103

EP - 109

JO - Blood Purification

JF - Blood Purification

IS - 2

ER -

Measurement of fluid volume shifts during hemodialysis by A-mode ultrasonography

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