Biofeedback controlled hemodialysis (BF-HD) reduces symptoms and increases both hemodynamic tolerability and dialysis adequacy in non-hypotension prone stable patients

Assessment of dry weight by monitoring changes in blood volume during hemodialysis using Crit-Line

“…Intradialytic hypotension is particularly difficult to predict using only blood volume monitoring since it is also a function of a number of other physiologic parameters, such as body temperature [5,6]. Further, the use of biofeedback control devices based on blood volume monitoring have been shown to result in more effective removal of excess body fluid during routine hemodialysis [7][8][9][10][11][12].…”

Biofeedback Systems and Their Application in the Hemodialysis Therapy

“…As a consequence, the amount of urea accessible to the dialyser is greater, and greater is the amount actually removed. McIntyre et al (2003) have applied blood volume biofeedback to 15 stable, nonhypotension-prone HD patients and they found an increasing tolerability, reducing intradialytic fluid gains and enhancing urea clearance.…”

Automated Blood Volume Regulation During Hemodialysis

“…These results are in accordance with those reported by Ronco et al (2000), who also demonstrated a significant decrease in the number of nursing interventions in a population prone to IDH when treated with BV biofeedback. Finally, two non-randomized, short-term prospective studies specifically assessed the value of BV-regulated HD among non hypotensive-prone patients (Wolkotte et al, 2002 andMcIntyre et al, 2003). Both found a statistically significant improvement in dialysis tolerance in terms of reduction of IDH.…”