Acute Intradialytic Complications in End Stage Renal Disease on Maintenance Hemodialysis

Authors

  • R K Agrawal Department of Nephrology, NAMS, Bir Hospital, PO Box No 21821, Kathmandu,Nepal
  • S Khakurel Department of Nephrology, NAMS, Bir Hospital, PO Box No 21821, Kathmandu,Nepal
  • R Hada Department of Nephrology, NAMS, Bir Hospital, PO Box No 21821, Kathmandu,Nepal
  • D Shrestha Department of Nephrology, NAMS, Bir Hospital, PO Box No 21821, Kathmandu,Nepal
  • A Baral Department of Nephrology, NAMS, Bir Hospital, PO Box No 21821, Kathmandu,Nepal

DOI:

https://doi.org/10.31729/jnma.358

Abstract

Introduction: Hemodialysis is the preferred method of treatment for Nepalese patients with End Stage Renal Disease. Despite the technological advances and better understanding of physiology associated with hemodialysis, a number of complications are known to be associated with hemodialysis. This study was undertaken to study the frequency of acute intradialytic complications in patients undergoing hemodialysis.

Methods: A cross-sectional study was conducted at Nephrology unit of a tertiary care hospital from 15 June, 2007 to 15 December, 2007. A total of 28 patients were included in the study. Patients with acute renal failure and acute on chronic renal failure were excluded from the study.

Results: Total sessions of hemodialysis during the period were 1455. Hypotensive episode were 66 (4.5%) and was the commonest complication and followed by hypertensive episodes were 58 (3.8%). Other problems encountered were transfusion reactions were 23 episodes (1.5%), rigors not related to transfusions were 13 episodes (0.8%), nausea/vomiting were 20 episodes (1.4%), muscle cramps were 12 episodes (0.8%), hypoglycemia were 6 episodes 5(0.4%).

Conclusions: The frequency of intradialytic complications is low and many of them are not life threatening.

Keywords: complications; end stage renal disease; hemodialysis; hypertension; hypotension.

Downloads

Published

2012-09-30

How to Cite

Agrawal, R. K., Khakurel, S., Hada, R., Shrestha, D., & Baral, A. (2012). Acute Intradialytic Complications in End Stage Renal Disease on Maintenance Hemodialysis. Journal of Nepal Medical Association, 52(187). https://doi.org/10.31729/jnma.358

Issue

Vol. 52 No. 187 (2012)

Section

Original Article

License

JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.