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See Latest ArticlesHaemodynamic consequences of changing bicarbonate and calcium concentrations in haemodialysis fluids
Nephrology Dialysis Transplantation, 03/03/09
Gabutti L et al. - Both high bicarbonate and calcium concentrations in the dialysate improve the haemodynamic pattern during dialysis. Bicarbonate reduces arterial stiffness and ameliorates the heart tolerance for volume overload in the interdialytic phase, whereas calcium directly increases stroke volume. The slight hypotensive effect of alkalaemia should motivate a probative reduction of bicarbonate concentration in dialysis fluid for haemodynamic reasons, only in the event of failure of classical tools to prevent intradialytic hypotension.
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