Health Condition 1: N19- Unspecified kidney failure
Conditions
Interventions
Intervention1: Modifying dialysate flow during dialysis: To test the hypothesis that during concurrent dialysate flow , sodium changes might be not as rapid as in countercurrent dialysate flow
Sponsors
ABVIMS and RML hospital
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: 1. Patients with AKI and CKD with Serum Sodium levels 2. Patients having an indication of hemodialysis in the form of a. Refractory electrolyte disturbances b. Refractory metabolic acidosis c. Fluid overload d. Uremic signs and symptoms e. Advanced azotemia â?? Serum creatinine > 10 mg/dL and hyponatremia refractory to conservative management 3. Patients requiring blood flow of 100 â?? 150 ml/min and dialysate flow 300 ml/min during dialysis
Exclusion criteria
Exclusion criteria: Exclusion criteria: 1. Patients having known seizure disorder or another underlying neurological dysfunction. 2. Patients not having an indication of dialysis 3. Hemodynamically unstable patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of correction of Serum sodiumTimepoint: 1 week and 1 month | — |
Secondary
| Measure | Time frame |
|---|---|
| Neurological deterioration- development of osmotic demyelination syndromeTimepoint: After 1 week and 1 month | — |
Countries
India
Contacts
Public ContactAmandeep Singh
ABVIMS and Dr RML hospital
Outcome results
None listed