Isothermal dialysis to control intradialytic hypotension and patient comfort: a pilot study.

Abstract

Isothermal hemodialysis to improve intradialytic tolerance in hypotension-prone patients has been effective in outpatient settings. The purpose of this pilot study was to examine thermal control in an acute care setting and describe comfort issues associated with thermal control Although complaints of cold or shivering occurred more frequently with the isothermal hemodialysis group, cold discomfort was managed by nursing interventions and was not a cause of significant discomfort. No statistically significant difference was observed in blood pressure or patient's comfort level between standard and isothermal dialysis. However, isothermal hemodialysis may be an appropriate hemodialysis option for control of intradialytic hypotension in the acute care setting. Further research is recommended.

• Authors: Jianjun Li, Lanell Bellury, Marianne Baird, Lewis N Van Brackle, Kathie Aduddell
• Journal: Nephrology nursing journal : journal of the American Nephrology Nurses' Association (Nephrol Nurs J) 2014 May-Jun Vol. 41 Issue 3 Pg. 275-80; quiz 281 ISSN: 1526-744X [Print] United States
• PMID: 25065061 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Cold Temperature
• Education, Nursing, Continuing
• Female
• Hospitals, Community
• Humans
• Hypotension (etiology, therapy)
• Kidney Failure, Chronic (nursing)
• Male
• Middle Aged
• Nephrology Nursing (methods)
• Pilot Projects
• Renal Dialysis (adverse effects, nursing)
• Renal Insufficiency, Chronic (nursing)
• Shivering (physiology)