A Study of Intradialytic Complications in Patients Undergoing Hemodialysis

Priyadharshini, S (2019) A Study of Intradialytic Complications in Patients Undergoing Hemodialysis. Masters thesis, Tirunelveli Medical College, Tirunelveli.

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Abstract

BACKGROUND: Hemodialysis is the process of removing solutes from the body using a semipermeable artificial membrane when blood comes in contact with the same during extracorporeal circulation. First hemodialysis was successfully done by Dr.William Kolff. The Hemodialysis procedure is associated with a number of complications. The common complications are hypotension, intradialytic hypertension, dialyzer reactions, disequilibrium syndrome, muscle cramping. Other less common complications are haemolytic, haemorrhage, hypoxia, air embolism, arrhythmias. AIM OF THE STUDY: 1. To evaluate the various intradialytic complications of hemodialysis. 2. To identify the Incidence of the intradialytic complication among the patients undergoing hemodialysis. 3. To study the association between the kidney disease and complications and age and sex distribution. METHODS: It is a prospective study done for one year in Tirunelveli medical college. About 190 patients undergoing hemodialysis who developed intradialytic complications. RESULTS: In our study, out of 190 patients 64 (34%) developed complications. Among the 15 AKI patients, 9 (60%) developed complications compared with 31.4% in CKD patients. In our study 18 patients (28%) developed cramps, 25% patients got hypotension as an intradialytic complication. There is no significant age and sex distribution relation in our study. Other complications were chest pain (9%), fever(3%), hypoglycaemia (3%), vomiting(3%), palpitation (2%) and acute pulmonary edema (2%). CONCLUSION: Hemodialysis is a better procedure for removal of toxic metabolic end products from systems in renal failure patients, but associated with many complications. We have to keep these complications in our mind and treat them accordingly will improve the quality of life in patients undergoing hemodialysis.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Intradialytic Complications, Patients, Undergoing Hemodialysis.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 25 Aug 2019 03:53
Last Modified: 25 Aug 2019 03:58
URI: http://repository-tnmgrmu.ac.in/id/eprint/11201

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