Efficiency of High Blood Flow in Increasing Dialysis Efficacy versus Dialysis Complications

Shahdadi, Hosien; Haghighi, Maryam; Sharafi, Eghlima; Moghadam, Mahdieh Poodineh; Balouchi, Abbas; Bandadni, Esmat; Abdollahimohammad, Abdolghani

doi:10.5958/0976-5506.2017.00051.1

Cited by 3 publications

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“…Beberapa penelitian menunjukkan bahwa peningkatan nilai Qb 15-25% efektif dalam meningkatkan dialisis secara adekuat. 12,16,17 Pada penelitian ini hanya terjadi perbedaan nilai Qb yang sangat kecil yaitu nilai Qb pada posisi tip CDL di intraatrial lebih tinggi dibandingkan pada posisi tip CDL di CAJ, namun perbedaan ini bukan berarti posisi tip CDL di intraatrial lebih baik daripada di CAJ karena perbedaan ini (3,8%) tidak akan memberikan perubahan nilai Qb yang berarti.…”

Section: Metode Penelitianunclassified

Korelasi Posisi Tip Catheter Double Lumen dengan Nilai Quick of Blood pada Pemasangan CDL Tunneling Vena Jugularis Interna Kanan di RSUP Prof. Dr. R. D. Kandou

Tubagus¹,

Tjandra²,

Sumangkut³

2019

JBM

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Chronic kidney disease (CKD) is a global public health problem with increasing prevalence and incidence. Patients with CKD require kidney replacement therapy such as hemodialysis. The quick of blood (Qb) value is one of the most important determinants for adequate hemodialysis. Many factors can affect the Qb value, inter alia the catheter tip position. It is very complex and still controversial to determine the optimal position of the catheter itself. This study was aimed to determine the correlation between the double lumen catheter tip position and Qb value in insertion of the right internal jugular vein CDL tunneling at Prof. Dr. R. D. Kandou hospital. This was a correlation analytical study with a cross-sectional design. The position of the CDL tips were evaluated by using chest x-ray and the Qb values were determined by using hemodyalisis machine. Data were analyzed by using point-biserial correlation test. In total, 55 patients were included, mostly were males (56.4%) and late elderly (41.8%). The results showed that the average Qb value with CDL tip position in intraatrial (178.2 ml/minute) was slightly higher than the average Qb value with CDL tip position in CAJ (171.6 ml/minute). The bivariate analysis showed that the position of the double-lumen catheter tip had a weak positive correlation but not significant with the Qb value. Conclusion: There was a correlation but not statistically significant between the position of the CDL tip and the Qb value.Keywords: CKD, catheter tip position, catheter double-lumen, Quick of bloodAbstrak: Penyakit ginjal kronik (PGK) merupakan masalah kesehatan masyarakat global dengan prevalensi dan insidens yang terus meningkat. Pasien gagal ginjal memerlukan terapi pengganti ginjal seperti hemodialisis. Nilai quick of blood (Qb) merupakan salah satu penentu yang sangat penting bagi hemodialisis yang adekuat. Banyak faktor yang dapat memengaruhi nilai Qb, salah satunya ialah posisi tip kateter. Hal yang menentukan posisi optimal dari kateter sendiri sangat kompleks dan masih kontroversial. Penelitian ini bertujuan untuk mengetahui korelasi antara posisi tip kateter double lumen dengan nilai quick of blood pada pemasangan CDL vena jugularis interna kanan di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah analitik korelasi dengan desain potong lintang. Alat ukur yang digunakan ialah foto toraks untuk menentukan posisi tip CDL dan mesin hemodialisa untuk melihat nilai Qb. Data hasil penelitian dianalisis dengan uji korelasi point-biserial. Subyek penelitian ini sebanyak 55 pasien, lebih banyak yang berjenis kelamin laki-laki (56,4%) dan berada dalam kategori usia lansia akhir (41,8%). Hasil penelitian menunjukkan nilai rerata Qb posisi tip CDL di intraatrial (178,2 ml/menit) sedikit lebih tinggi daripada rerata nilai Qb posisi tip CDL di CAJ (171,6 ml/menit). Hasil analisis data mendapatkan korelasi positif lemah dan tidak bermakna (antara posisi tip catheter double-lumen dengan nilai Qb. Simpulan: Terdapat korelasi yang tidak bermakna secara statistik antara posisi tip CDL dengan nilai Qb.Kata kunci: PGK, posisi tip kateter, double-lumen catheter, quick of blood

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Section: Metode Penelitianunclassified

Korelasi Posisi Tip Catheter Double Lumen dengan Nilai Quick of Blood pada Pemasangan CDL Tunneling Vena Jugularis Interna Kanan di RSUP Prof. Dr. R. D. Kandou

Tubagus¹,

Tjandra²,

Sumangkut³

2019

JBM

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“…Results of numerous studies have shown that increasing the Kt/V to 1.2 and URR to 65% is effective in prognosis of dialysis patients (Kalender and Tosun, 2014, Tayyebi et al, 2012, Borzou et al, 2009. Many factors, including duration of dialysis, velocity of dialysate, the use of highspeed dialyzer, and blood flow velocity affect dialysis adequacy (Shahdadi et al, 2017 but it is not possible or cost-effective to use some of these methods, also new hemodialysis methods are not sufficiently adequate (Salehi et al, 2016, Shahdadi et al, 2017.…”

Section: Introductionmentioning

confidence: 99%

“…Studies performed on the effect of some variables on dialysis adequacy include "The effect of hatha yoga exercises on dialysis adequacy" (Tayyebi et al, 2011), "The comparison of the effect of Quran recitation with that of normal condition, silence, Arabic music, and Iranian music on dialysis adequacy" (Alavi Majd et al, 2010), and "The effect of increased blood flow on side effects and adequacy of dialysis in hemodialysis patients with a low Kt/ v" (Shahdadi et al, 2017) (BasiriMoghadam et al, 2014. The use of non-pharmacological complementary therapies has been further accepted and emphasized too much in the health system, (Hadadian et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Muscle Relaxation on Dialysis Adequacy in Hemodialysis Patients

Biabani¹,

Tavakolizadeh²,

Basirimoghadam³

2018

ME-JFM

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Aims and objectives: Hemodialysis is a main treatment for patients with renal failure. The improvement of dialysis adequacy is the most important factor in reducing complications and mortality in hemodialysis patients. This study was conducted to examine the effect of muscle relaxation on dialysis adequacy in patients on hemodialysis. Design and Methods: This randomized controlled clinical trial was performed on 90 hemodialysis patients in Khatam al-Anbia and Imam Ali hemodialysis centers in Zahedan, Iran in 2014. The participants were selected through convenience sampling and assigned to the control and case groups through stratified block randomization with the block size of quadripartite (23 blocks of 4 /quadripartite). The control group received routine therapeutic measures, and the case group were trained for Benson muscle relaxation in three sessions in addition to the routine therapeutic measures. The patients in the case group were requested to do relaxation exercises for 15-20 minutes twice a day for one month. The dialysis adequacy was measured using the z02 software of the Health Ministry before and after the intervention. The data were analyzed in SPSS21 software using Chi-square test, independent t test, Mann-Whitney test, Pearson's correlation coefficient, ANOVA, and ANCOVA at significance level lower than 0.05. Results: The results showed no significant difference between the two groups in terms of dialysis adequacy before the intervention (P = 0.818) although the difference was significant after the intervention (P = 0.003). Moreover, the dialysis adequacy significantly correlated with patients' age (P = 0.001), sex (P = 0.039), and occupation (P = 0.024). Conclusion: Regarding increased dialysis adequacy and its safety and ease of use, it is recommended that muscle relaxation be taught in hemodialysis wards.

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“…Each of these approaches has different effects on physical, psychological, and social health in these patients (10). Due to the dramatic increase in the need for RRT in recent decades and the upward trend and owing to the shortage of kidneys for transplantation and complications of peritoneal dialysis (11,12), hemodialysis is the most common method of them (13). In 2014, the population of hemodialysis patients is estimated to be 2.662 million (14); This means that 89% of dialysis patients depend on hemodialysis (13).…”

Section: Introductionmentioning

confidence: 99%

Comparison the effect of high flux and low flux dialyzer on quality of life in hemodialysis patients; a clinical trial

et al. 2018

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Introduction: End-stage renal disease (ESRD) is a worldwide public health problem. ESRD reduces health-related quality of life. Quality of life is an important determinant in the mortality and morbidity of hemodialysis patients. However, several studies have suggested that high flux dialyzers increase dialysis adequacy and reduce mortality and morbidity in these patients. Objectives: This study aimed to investigate the effects of high flux and low flux dialyzers on the quality of life in hemodialysis patients. Patients and Methods: In this clinical trial, 93 patients who met the inclusion criteria were randomly assigned to two groups of high flux and low flux dialyzers. Before intervention, both groups filled demographic and quality of life questionnaires. They were undergone dialysis with two dialyzers (one group by high flux and another by low flux) three times a week for 6 weeks. Then quality of life questionnaire was filled by both groups once again. Results: The overall quality of life score was not significantly different in both groups before intervention (P=0.121). After intervention, however, high flux group attained a significantly higher mean score (54 ± 10.4) than low flux group (43.89 ± 11.64) (P<0.001). Conclusion: According to the results of this study, the use of high flux dialyzers can be a useful method to increase the quality of life in hemodialysis patients.

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Efficiency of High Blood Flow in Increasing Dialysis Efficacy versus Dialysis Complications

Cited by 3 publications

References 0 publications

Korelasi Posisi Tip Catheter Double Lumen dengan Nilai Quick of Blood pada Pemasangan CDL Tunneling Vena Jugularis Interna Kanan di RSUP Prof. Dr. R. D. Kandou

Korelasi Posisi Tip Catheter Double Lumen dengan Nilai Quick of Blood pada Pemasangan CDL Tunneling Vena Jugularis Interna Kanan di RSUP Prof. Dr. R. D. Kandou

The Effect of Muscle Relaxation on Dialysis Adequacy in Hemodialysis Patients

Comparison the effect of high flux and low flux dialyzer on quality of life in hemodialysis patients; a clinical trial

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