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Bikarbonatna dializa in cirkulacijska stabilnost II. : poročilo o opravljenem delu za leto 1989
Guček, Andrej, 1948- ...
8 patients on maintenance hemodialysis (HD) were studied white undergoing acetate (A1) HD 3 times a week, then bicarbonate (B) HD for a week and acetate(A2) HD once more during the third period with ...use the efficient hemodialyzer. This prospective study was carried out to compare effects of acetate and bicarbonate buffers on cardiovascular stability, tolerance of ultrafiltration and balance of acido-base state. The results indicate that dialysis with bicarbonate (B) leads to significantly smaller increasc of heartrate beats/min than with acetate (A1, A2). There were found less hypotensive episodes (p < 0,05) at B : A1 but difference was not significant at B : A2. There were no statistical differences between blood pressure changes during acetate (A1,A2) and bicarbonate (B) HD. Ultrafiltrations were constant and relatively moderte during each type of HD and there were no statistical significant differences. Plasma bicarbonate concentrations were significant higher at B : A1,A2. Metabolic alkalosis was mild. Oxygenatio of arterial blood was better at B specially 1/2 hour after the beginning of HD (p< 0,005). Therplasma acetate concentrations higher than 7 mmol/1 and it appers, that this group of patients metabolise acetate more slowly.
Type of material - research report
Publication and manufacture - Ljubljana : Univerzitetna nefrološka klinika, 1989
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