The incidence of intradialytic hypotension in patients with receiving intermittent hemodialysis (IHD) or sustained low efficiency dialysis (SLED) in ICUs Hemodialysis, Renal replacement therapy, Intradialytic hypotension, Intensive care unit, Graduated compression stockings
Conditions
Interventions
After the nephrologist prescribed the hemodialysis order, we randomized the patients into the 2 groups, patients in the first group were received the standard care (control) in the first HD session th
Experimental Device,No Intervention No treatment
graduated compression stockings (GCSs) (intervention),standard care (control)
Sponsors
Department of Medicine, Faculty of Medicine Ramathibodi Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Adult patients (age 18 years or older) undergoing intermittent hemodialysis (IHD) or sustained low-efficiency dialysis (SLED) in ICU 2. Admitted in medical and surgical ICUs (ICU 3IC, 4IT, 8IK, 9IC) in Ramathibodi hospital 3. Written consent form
Exclusion criteria
Exclusion criteria: 1.History of severe peripheral artery disease 2.Peripheral neuropathy 3.Previous revascularization in lower extremities 4.Lower extremity amputation 5.Abnormal skin or soft tissue on lower extremities 6.Deep vein thrombosis 7.Pregnancy 8.Presence of intravenous or intraarterial line at lower extremities 9.Patients requiring norepinephrine 0.2 mcg per kg per minute or higher 10.Patients increasing doses of norepinephrine within 24 hours before enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients with incidence of intradialytic hypotension During dialysis Systolic blood pressure decreased dropped at least 20 mm Hg, or mean arterial pressure dropped at least 10 mm Hg, or systolic blood pressure was lower than 90 mm Hg | — |
Secondary
| Measure | Time frame |
|---|---|
| Average mean arterial pressure during hemodialysis During dialysis Measure blood pressure,Change of heart rate During dialysis Monitoring from pulse oximetry in ICU,Change of norepinephrine dose During dialysis Record form during hemodialysis,Fluid resuscitation during hemodialysis During dialysis Record form during hemodialysis,Ultrafiltration achievement of hemodialysis During dialysis From data record form during hemodialysis,Early termination of hemodialysis During dialysis From data record form during hemodialysis,Clinical of distal limb ischemia During dialysis Observe signs of limb ischemia during hemodialysis and finished hemodialysis,severe intradialytic hypotension during HD counting the number of patients with systolic blood pressure was lower than 90 mm Hg,achieving over 80 percentages of ultrafiltration target the time at finishing HD calculating of net ultrafiltration compared the ultrafiltration target, the gold is the achieving over 80 percentages of ultrafiltration target,Receiving fluid resuscitation during HD during HD counting the number of patients receiving fluid resuscitation during HD,Increasing dose of norepinephrine during hemodialysis during HD counting the number of patients with increasing dose of norepinephrine during hemodialysis,Reducing blood flow rate during HD counting the number of patients with reducing blood flow rate during hemodialysis | — |
Countries
Thailand
Contacts
Public ContactTananchai Petnak
Faculty of medicine Ramathibodi hospital, mahidol University
Outcome results
None listed