We also found a highly significant positive correlation between serum albumin and IVCD. This lead to decreased plasma refill and causes premature drop in BP leading to IDH. Hypoalbuminemia causes IDH because of low osmolality leading to decreased oncotic pressure. Hypoalbuminemia is a major risk factor of hypotension during HMD. Majority of patients (70%) with IDH had low serum albumin. Results: In our study, there was significant relation between hypoalbunemia and IDH (p–0.001). Mean age in both groups and male–female percentage, serum albumin, serum sodium, haemoglobin levels, Qb (Blood flow during hmd), surface area of dialyzer were compared in patients of both the groups The patients were selected in 2 groups according to presence of IDH– Group (I) included 30 patients who had IDH and Group (II) included 30 patients who did not have IDH. Materials and methods: This study was done in the department of medicine of Rajendra Institute of Medical Sciences(RIMS) on patients with CKD who received regular hemodialysis session at RIMS. Hypotension is a risk factor for mortality and morbidity in HMD patients. Introduction: Intradialytic hypotension(IDH) is one of the most important acute complication occuring during routine hemodialysis treatment. Manohar Lal Prasad, Prajit Mazumdar, Aakanksha Malhotra, Malyaban Das Abstract : Further study may be undertaken to determine the relationship of unit change of IVCd due to acute blood loss in case of trauma or other conditions.Volume : IX, Issue : V, May - 2020 The Relationship between Hypoalbuminemia and Intradialytic Hypotension in Haemodialysis Patients Thus, the acute depletion of CBV could be detected by measuring the change of IVCd by sonography. The decrease in INV diameter following blood loss was significant (p< 0.01). Likewise, the mean diameter of IVC during inspiration before and after the blood donation was 12.96mm (☑.61mm) and 7.58mm (☑.29mm) respectively. The mean diameter of IVC during expiration before and after the blood donation was 17.5mm (☑.56mm) and 11.93mm (☑.48mm) respectively. In sagittal sections, the inferior vena cava behind the liver were imaged during inspiration and expiration. ![]() During examination, the transducer was applied to the epigastrium parallel to the median line about 2 cm to the right of it for sagittal sections, and at a right angle to the median line about 3 cm below the xiphoid process for transverse sections. The inferior vena cava diameters, both during inspiration and expiration were measured by ultrasound examination immediately before and after donation of a single unit (450ml) of blood. A total of 50 volunteer blood donors aged 18 to 57 years were studied in the Department of Radiology and Imaging of Dhaka Medical College Hospital (DMCH) from July 2004 to June 2005. The present study was designed to determine whether acute blood loss could be detected by sonographic measurement of the IVCd. ![]() Ultrasonographic measurement of IVCd provides a noninvasive real-time information of the CBV. Change in the inferior vena cava diameter (IVCd) occurs due to alteration in circulating blood volume (CBV) and blood loss. Department of Radiology and Imaging, Bangladesh Institute of Research and Rehabilitation for Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhakaĭepartment of Radiology and Imaging, Dhaka Medical College & Hospital, Dhakaĭetection and monitoring of blood loss in trauma patients can often be challenging.
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