Optimized Blood Volume Monitoring during Hemodialysis Procedure based on Ultrasonic Speed Measurement

نویسندگان

  • M Eghbal Iranian Research Organization for Science and Technology
  • V. R Nafisi Iranian Research Organization for Science and Technology
چکیده مقاله:

Fast reduction of blood water volume due to ultra-filtration via hemodialysis machine and critical threshold of blood water volume can result in clinical complications such as hypotension. When blood water volume reduces during hemodialysis process, the concentration of blood forming elements will increase. One of the methods for the monitoring of the concentration changes is ultrasonic speed measurement.In this paper, we optimize the ultrasonic speed measurement method in such a way that it would be compatible with conventional air detector in a hemodialysis machine. Air bubble detecting and the relative blood water volume estimating can be achieved by adding the “sing-around” ultrasonic speed measurement method to the current hemodialysis machine; air bubble detection is achieved by monitoring the decline in the ultrasonic wave amplitude (because of air bubbles) and the protein concentration measurement is achieved by measuring the transit time of the wave. Therefore, the optimized method can be applied to the air detection device of a hemodialysis machine.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Automated Blood Volume Regulation During Hemodialysis

Intradialytic hypotension (IDH) is the most common complication of hemodialysis (HD), occurring in up to 20 to 33% of sessions (Daugirdas, 2001). IDH is responsible for various minor symptoms (nausea, vomiting, muscle cramps, dizziness, and fatigue) during dialysis, but is also associated with more severe adverse events such as myocardial infarction (Burton et al., 2009) and cerebral ischemia (...

متن کامل

Diagnostic utility of blood volume monitoring in hemodialysis patients.

BACKGROUND Assessment of volume state is difficult in hemodialysis patients. Whether continuous blood volume monitoring can improve the assessment of volume state is unclear. STUDY DESIGN Diagnostic test study. SETTINGS & PARTICIPANTS Asymptomatic long-term hemodialysis patients (n = 150) in 4 university-affiliated hemodialysis units. INDEX TESTS Ultrafiltration rate (UFR) divided by post...

متن کامل

Critical evaluation of blood volume measurements during hemodialysis.

Devices that continuously measure relative blood volume (RBV) changes during hemodialysis (HD) are increasingly used for the prevention of dialysis hypotension and fine-tuning of dry weight. However, RBV measurements are subject to various limitations. First, RBV devices provide information on relative blood volume changes but not on absolute blood volume. Since blood volume varies with the hyd...

متن کامل

Relative blood volume changes underestimate total blood volume changes during hemodialysis.

BACKGROUND Measurements of relative blood volume changes (DeltaRBV) during hemodialysis (HD) are based on hemoconcentration and assume uniform mixing of erythrocytes and plasma throughout the circulation. However, whole-body hematocrit (Ht) is lower than systemic Ht. During HD, a change in the ratio between whole-body to systemic Ht (F cell ratio) is likely to occur as a result of a net shift o...

متن کامل

Effect of controlled extracorporeal blood cooling on ultrafiltration-induced blood volume changes during hemodialysis.

Considerable amounts of heat may be lost or gained through the extracorporeal circuit during hemodialysis and influence the hemodynamic stability of the dialysis patient. The effects of two levels of extracorporeal heat flux (Jtherm in W) on blood pressures and ultrafiltration-induced blood volume changes were studied in eight patients on conventional hemodialysis. Treatments were controlled au...

متن کامل

Measurement of central blood volume by external monitoring.

W ITH EXTENSIVE application of the Hamilton-Stewart dj'e-dilution technique for measurement of central blood volume (CBV), it has become apparent that the method may be insensitive to small but significant changes in volume. Reasons for this, presumably, rest with the rather large volume measured and the inherent errors of the technique. 1 Using a peripheral vein injection , the volume measured...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 9  شماره 3

صفحات  -

تاریخ انتشار 2019-06-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023