Continuous blood volume monitoring and "dry weight" assessment

J Ren Care. 2007 Apr-Jun;33(2):52-8. doi: 10.1111/j.1755-6686.2007.tb00040.x.

Abstract

There are two distinct facets of adequate fluid balance control in haemodialysis patients--estimation of dry weight (DW) as the target and adequate ultrafiltration (UF) strategy, i.e. the way to reach the target in a possibly symptom-free way. The article reviews the continuous blood volume monitoring (CBVM) based procedures to deal with the former facet-DW determination. The existing approaches are divided in three groups--methods defining certain alert value of relative blood volume (RBV) reduction, methods working with RBV response to constant UF rate, and methods evaluating dynamics of RBV response to UF pulse or chain of UF pulses. While the first and the third approaches are relatively easy to automate, the second group of methods are suitable mainly for observational evaluations only. All the discussed methods, without exception, need large-scale verification, as they all were evaluated in the majority by their authors only and on small patient cohorts.

Publication types

  • Review

MeSH terms

  • Bias
  • Blood Volume
  • Blood Volume Determination / methods*
  • Blood Volume Determination / nursing
  • Body Weight*
  • Dehydration / diagnosis
  • Dehydration / etiology
  • Dehydration / metabolism
  • Fluid Shifts / physiology
  • Humans
  • Linear Models
  • Monitoring, Physiologic / methods*
  • Monitoring, Physiologic / nursing
  • Nursing Assessment / methods*
  • Practice Guidelines as Topic
  • Renal Dialysis / adverse effects
  • Renal Dialysis / methods*
  • Renal Dialysis / nursing
  • Reproducibility of Results
  • Water Intoxication / diagnosis
  • Water Intoxication / etiology
  • Water Intoxication / metabolism
  • Water-Electrolyte Imbalance / diagnosis*
  • Water-Electrolyte Imbalance / etiology
  • Water-Electrolyte Imbalance / metabolism