| Theme | Hypertension and Hypotension in Patients with Maintenance Dialysis -- Mechanisms and Therapeutic Approach | |
|---|---|---|
| Title | Dialysis blood pressure monitoring and control | |
| Publish Date | 2003/02 | |
| Author | Masamichi Shibata | Division of Blood Purification, Kidney Center, Tokyo Women's Medical University |
| [ Summary ] | The prevention of lowered blood pressure, caused by decreases in blood volume (BV) and countermeasures for this problem are important problems related to dialysis treatment. Recently, stabilization of circulatory dynamics has been effectively performed by monitoring relative blood volume (RBV) during dialysis. The personal dialyzator (4008S, Fresenius Inc.) has the function of preventing the reduction of blood pressure associated with BV decreases by using RBV monitoring and controlling the volume of removed water [UF-control (UF-C)] by which the ultrafiltration rate (UFR) is controlled according to RBV changes. The monitoring function of circulatory dynamics (HASTE) of the patient monitoring system, Moneo BP88si (Nihon Corin Inc.) was developed for the early detection of rapid changes in blood pressure. This system was based on pulse wave transmission time (PWTT) and may be very effective in monitoring blood pressure during dialysis. |
|