• Crit Care · Jun 2016

    Hypotension and hypovolemia during hemodialysis: is the usual suspect innocent?

    • David Berger and Jukka Takala.
    • Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, CH-3010, Bern, Switzerland. david.berger@insel.ch.
    • Crit Care. 2016 Jan 1; 20 (1): 140.

    AbstractHypotension during intermittent hemodialysis is common, and has been attributed to acute volume shifts, shifts in osmolarity, electrolyte imbalance, temperature changes, altered vasoregulation, and sheer hypovolemia. Although hypovolemia may intuitively seem a likely cause for hypotension in intensive care patients, its role in the pathogenesis of intradialytic hypotension may be overestimated.

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