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Changes in the volume status of haemodialysis patients are reflected in sublingual microvascular perfusion
Nephrology Dialysis Transplantation, 06/16/09

Bemelmans RHH et al. - Sublingual microvascular perfusion is reduced by UF and can be restored temporarily using autotransfusion by TP due to increased venous return. SDF imaging is able to detect these volume changes. SDF imaging and TP could become a useful bedside tool to evaluate the patient's (microvascular) volume status and response to therapy in dialysis or intradialytic hypotension.

Exclusive Author Commentary
Peter E. Spronk, 06/16/09

Studying hemodialysis patients before and after ultrafiltration and extracting fluids proved to be an interesting and useful model for analysis of changes in microvascular perfusion. It also underlines the potential use of non-invasive devices to detect changes in volume status. Future studies could use this method to evaluate responses to therapy in dialysis or intradialytic hypotension.

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