Haemodynamic Effects of Food Intake during Haemodialysis

Sivalingam, Murugan; Banerjee, Anindya; Nevett, Gail; Farrington, Ken

doi:10.1159/000114094

Cited by 25 publications

(19 citation statements)

References 22 publications

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“…In this regard, Kistler et al, 16 have found that people who consumed food during hemodialysis suffered from hypotension. However, the results of Sivalingam et al, 27 study, showed a significant decrease in blood pressure 30 minutes after food intake which was consistent with the present study. Also Kara & Acikel 1 investigated the effect of standard meal in 25 hemodialysis patients and found that hypotension created no problem.‏ Muller‏ et al, 28 study can be noted as another conflicting study.…”

Section: Discussionsupporting

confidence: 93%

Effect of Mealtime During Hemodialysis on Patients’ Complications

Borzou¹,

Mahdipour²,

Oshvandi³

et al. 2016

J Caring Sci

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Introduction: Food intake during hemodialysis increases the risk of problems such as hypotension, nausea, and vomiting in patients undergoing hemodialysis. This study aimed to determine the effect of mealtime during dialysis on the patients’ complications. Methods: This is a quasi-experimental study consisted of all eligible hemodialysis patients in Hamadan teaching hospitals. All of 48 patients were selected through census method. The research was conducted in two sessions. At both sessions, patients were kept fasting prior to hemodialysis. In the first session, after one hour and in the second session after two hours of hemodialysis, a meal containing 350 kcal of energy was given to the patients. Blood pressure and intensity of nausea and vomiting was measured and recorded immediately before the start of hemodialysis, and then every half an hour before the termination of the hemodialysis. Results: The results showed that in both sessions, food intake caused a drop in the systolic and diastolic blood pressure, but changes in the mealtime had no effect on the systolic and diastolic blood pressure. Also, statistical test showed that changes in the mealtime had no significant impact on the intensity of nausea and vomiting. Conclusion: Food intake during hemodialysis had no effect on the nausea and vomiting, but caused a drop in the systolic and diastolic blood pressure, the drop continued for one hour and one and a half hour after the meal. It is suggested, mealtime in the early hours of hemodialysis could be better managed during the hemodialysis process.

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Section: Discussionsupporting

confidence: 93%

Effect of Mealtime During Hemodialysis on Patients’ Complications

Borzou¹,

Mahdipour²,

Oshvandi³

et al. 2016

J Caring Sci

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“…Intradialytic food ingestion therefore causes hypotensive attacks by decreasing the cardiac output (12,13,32). A recent study involving 20 stable nondiabetic patients found that food intake during HD caused significant reductions in relative blood volume ( 17). Intradialytic food consumption and intradialytic hypotension also influence the adequacy of the treatment (18>33).…”

Section: Discussionmentioning

confidence: 99%

“…It is important for healthcare staff to be aware of the problems tbat can be caused by intradialytic food intake and to develop feeding protocols in line witb the clinical evidence (13). Several studies bave been conducted to assess tbe bemodynamic effects of intradialytic food ingestion (14)(15)(16)(17). However, little is known about the relationship between intradialytic food intake and urea kinetic parameters (18,19).…”

Section: Introductionmentioning

confidence: 99%

The effect of intradialytic food intake on the urea reduction ratio and single-pool Kt/V values in patients followed-up at a hemodialysis center*

Kara¹,

Açıkel²

2010

Turkish Journal of Medical Sciences

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“…In healthy subjects eating increases both splanchnic and hepatic blood flow [58]. There is a drop in systemic vascular resistance, accompanied by an increase in both heart rate and cardiac output to maintain blood pressure [59–61]. However, postprandial hypotension is seen particularly in patients with autonomic dysfunction, patients with hypertension, elderly patients, patients with cardiovascular disease, and patients with renal failure on HD [62].…”

Section: Central Venous Oxygenation During Hdmentioning

confidence: 99%

Intradialytic Hypoxemia in Chronic Hemodialysis Patients

Campos

Chan²,

Zhang³

et al. 2016

Blood Purif

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When kidney failure occurs, patients are at risk for fluid overload states, which can cause pulmonary edema, pleural effusions, and upper airway obstruction. Kidney disease is also associated with impaired respiratory function, as in central sleep apnea or chronic obstructive pulmonary disease. Hence, respiratory and renal diseases are frequently coexisting. Hypoxemia is the terminal pathway of a multitude of respiratory pathologies. The measurement of oxygen saturation (SO₂) is a basic and commonly used tool in clinical practice. Both arterial oxygen saturation (SaO₂) and central venous oxygen saturation (ScvO₂) can be easily obtained in hemodialysis (HD) patients, SaO₂ from an arteriovenous access and ScvO₂ from a central catheter. Here, we give a brief overview of the anatomy and physiology of the respiratory system, and the different technologies that are currently available to measure oxygen status in dialysis patients. We then focus on literature regarding intradialytic SaO₂ and ScvO₂. Lastly, we present clinical vignettes of intradialytic drops in SaO₂ and ScvO₂ in association with different symptoms and clinical scenarios with an emphasis on the pathophysiology of these cases. Given the fact that in the general population hypoxemia is associated with adverse outcomes, including increased mortality, cardiac arrhythmias and cardiovascular events, we posit that intradialytic SO₂ may serve as a potential marker to identify HD patients at increased risk for morbidity and mortality.

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Haemodynamic Effects of Food Intake during Haemodialysis

Cited by 25 publications

References 22 publications

Effect of Mealtime During Hemodialysis on Patients’ Complications

Effect of Mealtime During Hemodialysis on Patients’ Complications

The effect of intradialytic food intake on the urea reduction ratio and single-pool Kt/V values in patients followed-up at a hemodialysis center*

Intradialytic Hypoxemia in Chronic Hemodialysis Patients

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