Background: Coronavirus disease 2019 (COVID-19) has significantly affected the provision of medical services. The hemodialysis (HD) facilities together with other faced challenges in safely providing clinical care to patients and staff during pandemic. Objective: To describe our experience COVID-19 pandemic as regard infection, mortality rate, manifestations, illness duration efficacy local inf...

This study aimed to evaluate the effectiveness of an interventional program on patients' knowledge toward physical behavior and interpersonal relationship as health-protective behaviors. A quasi-experimental (tow-group pretest-posttest) design was used conduct this at hemodialysis unit in Al-Hussain Teaching Hospital for period from (18th Dec 2021, 5th May 2022). non-probability (purposive) sam...

Fluid overload (FO) is a common complication for pediatric patients in the intensive care unit. When conventional therapy fails, hemodialysis or peritoneal dialysis is classically used for fluid removal. Unfortunately, these therapies are often associated with cardiovascular or respiratory instability. Ultrafiltration, using devices such as the Aquadex™ system (Baxter Healthcare, Deerfield, IL,...

Metformin is commonly used in diabetes mellitus type 2, with lactic acidosis being a rare but potentially fatal complication of this therapy. The management of metformin-associated lactic acidosis (MALA) is controversial. Treatment may include supportive care, activated charcoal, bicarbonate infusion, hemodialysis, or continuous venovenous hemofiltration. In the previous issue of Critical Care,...

Abstract Introduction: Most dialysis patients have reduced aerobic power and muscle strength that often presents challenges in tolerating even the many activities required for daily living. As the American National Kidney Association recommends hemodialysis patients should be offered programs of exercise of 30 minutes per day our aim was to seek evidence for the merits of a structured exercise ...

Higher doses of renal replacement therapy have profound effects on pharmacotherapy, yet little research has been conducted in this area. High-volume renal replacement therapies influence both the pharmacokinetic and the pharmacodynamic profiles of all drugs administered to these critically ill patients. Intermittent high-dose "hybrid" hemodialysis therapies remove drugs to a much different degr...

Corresponding author Fabiana de Souza Orlandi Rodovia Washington Luis, km 235, São Carlos, SP, Brazil. CEP: 13565-905 [email protected] Universidade Federal de Sao Carlos, Sao Carlos, SP, Brazil. Conflicts of interest: there are no conflicts of interest to declare. Abstract Objective: To assess the frailty level of elderly people with chronic kidney disease undergoing hemodialysis. Met...

Severe hypernatremia is defined as serum sodium levels above 152 mEq/L, with a mortality rate ≥60%. 85-year-old gentleman was brought to the emergency room with altered level of consciousness after refusing to eat for a week at a skilled nursing facility. On admission patient was nonverbal with stable vital signs and was responsive only to painful stimuli. Laboratory evaluation was significant ...

INTRODUCTION Cardiovascular disease is the leading cause of morbidity and mortality in patients on maintenance hemodialysis. We investigated the pattern and correlates of cardiac lesions in a group of Cameroonians on chronic hemodialysis. METHODS This was a cross-sectional study conducted at the Yaoundé General Hospital's hemodialysis unit, involving 45 patients (29 men, 64%) on maintenance h...

Background: CMV is a common infection in chronic hemodialysis patients. CMV positive patients are more likely to havecarotid atherosclerosis plaques as compared with CMV negative individuals. Carotid ultrasonography (US) is one of the most used imagingtechniques for the assessment of atherosclerosis, and it is increasingly applied in patients with end-stage renal disease (ESRD) and in chronic k...