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HYDROXYETHYLSTARCH SOLUTIONS VERSUS SALINE FOR THE TREATMENT OF INTRADIALYTIC HYPOTENSION
Author(s) -
Konings Magda,
Wolters Evelien,
Betjes Michiel GH
Publication year - 2007
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2007.tb00058.x
Subject(s) - medicine , saline , anesthesia , incidence (geometry) , surgery , physics , optics
Background — It is unknown whether the colloid solutions hydroxyethylstarch (HES) 6% and 10% are equally effective as compared to saline alone for the treatment of intradialytic hypotension. Methods − 44 stable patients treated with chronic intermittent haemodialysis were divided in two equally sized groups (Group I and Group II). When symptomatic hypotension occurred, patients received 100 ml 0,9% NaCl in Group I and 100 ml HES 6% in Group II. In the second month of the study, patients in Group I received HES 6% and saline was given in Group II. In the third and fourth month this treatment schedule was repeated, but now HES10% instead of HES6% was given. Results and conclusion — HES solutions of 6% and 10% and saline were equally effective for the reversal of the intradialytic hypotension, but patients receiving HES10% had a significant lower incidence of recurrent hypotension.