![]() ![]() Intradialytic hypotension (IDH) is a common clinical problem occurring in 20-30 percent of dialysis sessions. Hemodialysis Pneumatic compression devices Intradialytic hypotension Comfort ![]() However, PCDs improved patient comfort during HD sessions. However, most patients reported improved comfort and better quality of HD sessions with application of PCDs.Ĭonclusions: PCDs did not reduce intradialytic hypotension. All secondary outcomes were not statistically significantly different between two arms (all P-values >0.05). There was no statistically significant difference in the incidence of IDH for PCDs and control (58% versus 52%, P-value=0.31). Results: 16 patients were recruited and randomized into 2 groups. Secondary outcomes were IDH with patient symptoms requiring intervention, nadir SBP, absolute maximum decrease in SBP, nadir SBP less than 100 mmHg, nadir SBP less than 90 mmHg, net ultrafiltration and comfort on dialysis. The primary outcome was the incidence of IDH, defined as an intradialytic decrease in Systolic Blood Pressure (SBP) from pre-dialysis SBP by at least 20 mmHg. Patients underwent eighteen HD sessions, randomized to begin the first nine sessions either with or without PCDs. Patients at high risk of IDH were recruited. Methods: The study is a two-period, eighteen-treatment, randomized crossover trial. In patients on hemodialysis, PCDs may prevent IDH by reducing venous stasis and increasing central blood volume. Pneumatic Compression Devices (PCD) are known to increase blood flow and venous return in the lower limbs. Background: Intradialytic Hypotension (IDH) is a common clinical problem during Hemodialysis (HD) and is associated with increased mortality and morbidity. ![]()
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