Common Complications during Hemodialysis Session; Single Central Experience

Abstract

Background: Hemodialysis (HD) is a renal replacement modality that widely used in End Stage Renal Disease (ESRD) therapy. HD complications occur during HD, post-HD session, and at long term. Aim of the Study: To assess frequency of common complications that occur during HD-session. Method and Patients: Study planned to assess the complications happened during HD-session for 335 patients. All patients had been informed about study aim. All patients included had not any evidence of HBV, HCV or HIV infection. Patient had their weight, blood pressure, pulse, Random Blood Sugar (RBS) and body temperature before they sat on HD-bed. Regular checkup of vital signs every 30 minutes. Any change of these parameters were recorded. Other parameters as hypoglycemic feature, hypotension, rigor, hotness and others were noted. Statistical Analysis: After data collection and arrangement in Excel sheet of Microsoft Office version 16, frequency and average of the parameters are calculated by IBM-SPSS version 25 (SPSS, Chicago, IL, USA) statistical package. Results: Three hundred thirty-five patients enrolled. They were 132 females and 203 male patients, aged 31- 56 years (48 ± 5.2), and weight range was 51-76 Kg (66 ± 3.4). There were 156 patients; 46 hypertensive, 62 diabetics, and 48 diabetics and hypertensive. The rest were not hypertensive or diabetic. Vomiting reported in (61.8%) of patients; during 1 st hour, vomiting occurred in (40.9%) of patients. During 2 nd and at 3 rd hour of HD-session, patients had vomiting almost the same number during this time of HD session. Epigastric mostly three sessions per week. They were 132 females and 203 male patients (Figure 1). Their age average 48 ± 5.2 (sem) with a range of 31 to 56 years. Weight average was 66 Kg ± 3.4 with a range of 51-76 Kg. one hundred and six patients either hypertensive, diabetic or both diabetic and hypertensive (46, 62, 48 patients) respectively, 170 patients were not hypertensive or diabetic. All patients had 3 hours’ HD session with mean of inter-dialytic weight increase of 2.3 ± 5.4 Kg. A case sheet for every patient for 6 sessions were prepared for the studied complications and given to duty doctor and technician to Conclusion: Vomiting is the commonest complication and low RBS. Hotness and hypotension were not also uncommon. Early start of HD, better control of dialysate temperature, strict infection control, and regular vital signs on short time basis and using glucose containing dialysate solutions are major issues to minimize these acute HD complications.