| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.13 MB | Adobe PDF |
Abstract(s)
A doença renal crónica (DRC) constitui um grande problema de saúde pública a nível
mundial, afetando milhões de pessoas. A hemodiálise é porventura a técnica de
substituição renal (TSR) mais utilizada na doença renal terminal (DRT), contudo não é
desprovida de riscos e pode causar complicações intra-dialíticas, como hipotensão,
cãibras, náuseas, vómitos e cefaleias, bem como complicações cardiovasculares a longo
prazo, arritmias e insuficiência cardíaca. A diálise fria, com diminuição da temperatura
do banho de diálise, foi proposta como forma de reduzir essas complicações e melhorar
os outcomes dos pacientes. No entanto, pelas limitações e inconsistências da evidência
da eficácia desta abordagem, há ceticismo face aos benefícios para os doentes e hesitação
em aplicá-la. Com este trabalho pretende-se, através de uma revisão extensa da
bibliografia, demonstrar de que forma a diálise fria influencia o risco de complicações
cardiovasculares, complicações intradialíticas e a sobrevivência dos pacientes com DRC,
e se se justifica ou não a aplicação prática desta técnica comparativamente à diálise
“standard”.
Chronic kidney disease (CKD) remains a major public health issue worldwide, affecting millions of people. Haemodialysis is by far the most used renal replacement therapy for patients with end-stage renal disease (ESRD), nevertheless it is not free of risks and can cause intradialytic complications, such as hypotension, cramps, nausea, vomiting and headaches, as well as long-term cardiovascular complications like heart failure and arrythmia. Cold dialysis, which resources on a decrease in the temperature of the dialysate solution, has been proposed as a way to reduce those complications and improve patients’ outcomes. Notwithstanding, due to the limitations and inconsistencies in the evidence of this approach’s effectiveness, there is skepticism regarding the benefits for patients and hesitation in applying it. Through an extensive review of the bibliography, this work aims to demonstrate how cold dialysis influences the risk of cardiovascular complications, intradialytic complications and the survival of patients with CKD, and whether or not the practical application of this technique is justified. compared to “standard” dialysis.
Chronic kidney disease (CKD) remains a major public health issue worldwide, affecting millions of people. Haemodialysis is by far the most used renal replacement therapy for patients with end-stage renal disease (ESRD), nevertheless it is not free of risks and can cause intradialytic complications, such as hypotension, cramps, nausea, vomiting and headaches, as well as long-term cardiovascular complications like heart failure and arrythmia. Cold dialysis, which resources on a decrease in the temperature of the dialysate solution, has been proposed as a way to reduce those complications and improve patients’ outcomes. Notwithstanding, due to the limitations and inconsistencies in the evidence of this approach’s effectiveness, there is skepticism regarding the benefits for patients and hesitation in applying it. Through an extensive review of the bibliography, this work aims to demonstrate how cold dialysis influences the risk of cardiovascular complications, intradialytic complications and the survival of patients with CKD, and whether or not the practical application of this technique is justified. compared to “standard” dialysis.
Description
Keywords
Complicações
Intradialíticas Complicações Cardiovasculares Diálise Fria Doença Renal Crónica Hemodiálise