Advanced hemodialysis/Hemodiafiltration based on real-time individualized cardiometabolic measurements

Authors:

• Joaquín Azpiroz-Leehan
• Andrés Morón
• Miguel Cadena-Méndez
• Emilio Sacristán-Rock
• Gerardo Rosas
• Fabiola Martínez-Licona

Objectives: Reduce lethality rates and increase quality of life of patients undergoing hemodialysis/hemodiafiltration by using the on-line measurement of cardiometabolic variables to control the hemodialytic processes.

Methods: Measurement of the patient’s intra-dialytic hemodynamic stability, which is highly related to the occurrence of adverse events. A multi-factor control which is adaptable to the specific needs of each patient is applied to preserve homeostasis.

Results and Lessons learnt: The protocols have been applied for 6 months and after more than 700 therapy sessions we have found that intradialytic monitoring heart rate variability is a predictor for hypotensive events. Other results are expected shortly.

Referencia: Azpiroz J., Morón A., Cadena M., Sacristán E., Rosas G., Martínez F. (2018). Advanced hemodialysis/Hemodiafiltration based on real-time individualized cardiometabolic measurements. 4th Global Forum on Medical Devices, Visakhapatnam, India.

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