Strategies for Improving Hemodynamic Stability during Hemodialysis Clinical and ...

172 Pages·2011·10.31 MB·English

Strategies for improving hemodynamic stability during
hemodialysis : clinical and pathophysiological studies
Citation for published version (APA):
van der Sande, F. M. (1999). Strategies for improving hemodynamic stability during hemodialysis : clinical
and pathophysiological studies. [Doctoral Thesis, Maastricht University]. Universiteit Maastricht.
https://doi.org/10.26481/dis.19991119fs
Document status and date:
Published: 01/01/1999
DOI:
10.26481/dis.19991119fs
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Download date: 03 Mar. 2023
Strategies for Improving Hemodynamic
Stability during Hemodialysis
Clinical and Pathophysiological Studies
® FM van der Sande, Heeze 1999
ISBN 90-9013193-0
Cover illustration: Harry Kranen
Printing of this thesis was made possible by Fresenius Medical Care BV, Baxter BV,
Merck Sharp & Dohme BV, Byk BV, AstraZeneca BV, Janssen-Cilag BV, Gambro BV,
Fresenius Kabi BV, Sanofi Winthrop.
Strategies for Improving Hemodynamic
Stability during Hemodialysis
Clinical and Pathophysiological Studies
MM I
PROEFSCHRIFT
ter verkrijging van de graad van doctor
aan de Universiteit Maastricht,
op gezag van de Rector Magnificus,
Prof. dr. A.C. Nieuwenhuijzen Kruseman,
volgens het besluit van het College van Decanen,
in het openbaar te verdedigen
op vrijdag 19 november 1999 om 16.00 uur
door
Franciscus Martinus van der Sande
geboren op 5 november 1957 te Amsterdam
Promotor
Prof. dr. KML Leunissen
Co-promotor .--i :••.*•;••:?*•?.
Dr. JP Kooman
Beoordelingscommissie 'j-» =:r j- •<• ' --
Prof. dr. RAMG Donckerwolcke (voorzitter)
Prof. dr. NW Levin (Albert Einstein College of Medicine, New York, USA)
Prof. dr. F Locatelli (Ospedale di Lecco, Lecco, Italy)
Prof. dr. HAJ Struijker Boudier
Dr. JHM Tordoir

Contents
Chapter 1 Introduction 9
Chapter 2 The hemodynamic effect of different ultrafiltration rates in patients
with cardiac failure and patients without cardiac failure: comparison
between isolated ultrafiltration and ultrafiltration + hemodialysis 33
Chapter 3 Effect of intravenous saline, albumin or hydroxyethylstarch on blood
volume during combined ultrafiltration and hemodialysis 51
Chapter 4 Effect of intravenous fluids on blood pressure course during
hemodialysis in hypotensive prone patients 67
Chapter 5 Effect of dialysate calcium concentrations on intradialytic blood
pressure course in cardiac-compromised patients 81
Chapter 6 Effects of dialysate temperature on energy balance during
hemodialysis: quantification of extracorporeal energy transfer 95
Chapter 7 Thermal energy balance and body temperature: comparison between
isolated ultrafiltration and hemodialysis at different dialysate
temperatures 109
Chapter 8 Energy transfer is the single most important factor for the difference
in vascular response between isolated ultrafiltration and hemodialysis
119
Chapter 9 General Discussion 133
Chapter 10 Summary and concluding remarks 149
Chapter 11 Samenvatting 157
Dankwoord 165
Curriculum vitae 169
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Chapter 1
Introduction
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