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| http://dx.doi.org/10.1016/j.ekir.2021.07.005 | DOI Listing |
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Vancomycin administration and AUC/MIC in patients with acute kidney injury on hemodialysis (HD): randomized clinical trial.
Sci Rep
December 2024
Internal Medicine Department - Nephrology, Botucatu School of Medicine, University São Paulo State-UNESP, District of Rubiao Junior, Botucatu, Sao Paulo, Brazil.
The pharmacokinetics and pharmacodynamics (PK/PD) of vancomycin change during HD, increasing the risk of subtherapeutic concentrations. The aim of this study was to evaluate during and after the conventional and prolonged hemodialysis sessions to identify the possible risk of the patient remaining without adequate antimicrobial coverage during therapy. Randomized, non-blind clinical trial, including critically ill adults with septic AKI on conventional (4 h) and prolonged HD (6 and 10 h) and using vancomycin for at least 72 h.
View Article and Find Full Text PDF[Recommendations for the rehabilitation of patients with chronic kidney disease requiring hemodialysis (literature review)].
Vopr Kurortol Fizioter Lech Fiz Kult
December 2024
Federal Scientific and Clinical Center of Medical Rehabilitation and Balneology of the Federal Medical and Biological agency of Russia, Moscow, Russia.
Unlabelled: Chronic kidney disease (CKD) is a global health problem, CKD is widespread in the world, on average it is detected in 10-13% of the adult population. Sedentary patients with CKD on dialysis have a higher risk of mortality. Despite the significant association of physical function with mortality in patients with CKD, physical function is not routinely assessed and exercise is not a component of the routine management of patients with CKD on dialysis.
View Article and Find Full Text PDFModifiable Factors Associated with Prolonged Dialysis Recovery Time and Fatigue in Hemodialysis Patients.
Kidney360
September 2024
Fondation AUB Santé, Saint-Malo, France.
Key Points: A negative change in serum sodium during a dialysis session is an independent factor associated with prolonged dialysis recovery time. Lower hemoglobin is an independent factor associated with fatigue in hemodialysis patients. Hemodiafiltration use in patients age ≥85 years is associated with a longer dialysis recovery time.
View Article and Find Full Text PDFThe Association Between Intradialytic Symptom Clusters and Recovery Time in Patients Undergoing Maintenance Hemodialysis: An Exploratory Analysis.
Can J Kidney Health Dis
March 2024
Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Background: Individuals receiving hemodialysis often experience concurrent symptoms during treatment and frequently report feeling unwell after dialysis. The degree to which intradialytic symptoms are related, and which specific symptoms may impair health-related quality of life (HRQoL) is uncertain.
Objectives: To explore intradialytic symptoms clusters, and the relationship between intradialytic symptom clusters with dialysis treatment recovery time and HRQoL.
The Implementation of a Modified Fluid Assessment Tool to Improve the Clinical Assessment, Detection, and Management of Blood Pressure Control and Fluid Alterations Among Hemodialysis Patients.
Int J Nephrol Renovasc Dis
December 2023
Dialysis Department, Sheikh Khalifa General Hospital, Umm Al Quwain, United Arab Emirates.
Article Synopsis
- Fluid overload is a serious issue in patients with End-stage Renal Disease that can result in longer hospital stays and increased mortality, highlighting the need for better management strategies.
- The study evaluated a new fluid assessment tool to enhance clinical evaluations and management related to blood pressure and fluid levels in hemodialysis patients by analyzing data from 43 patients over an 8-week period.
- Results showed that the modified tool significantly improved blood pressure control, encouraging greater involvement from healthcare providers in monitoring patient weight and fluid status, although it did not have a notable impact on changes in weight gain during dialysis.
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