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Review
. 2024 Oct 30.
doi: 10.1007/s40620-024-02124-1. Online ahead of print.

Assessment and management of emergencies during haemodialysis

Julian Yaxley  1 , Alexander Lesser  2 , Victoria Campbell  3   4
Affiliations
Review

Assessment and management of emergencies during haemodialysis

Julian Yaxley et al. J Nephrol. .

Abstract

The haemodialysis unit is a complex clinical environment. Medical emergencies complicating haemodialysis treatment are relatively infrequent but are associated with high morbidity and mortality. The management of intradialytic emergencies is challenging and relevant to the practice of all nephrology and critical care clinicians. There are no dedicated resuscitation guidelines for this unique patient population. This review article provides an outline of the assessment and treatment of important intradialytic emergencies (hypotension, hypertension, haemorrhage, hypoxia, neurologic disturbances, cardiac arrest) based on the best available evidence.

Keywords: Access haemorrhage; Cardiac arrest; Dialysis disequilibrium; Haemodialysis; Hypotension; Intradialytic emergency; Resuscitation.

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