Recent reports on the effects of dialysis on acid-base balance and metabolic acidosis correction in end-stage renal disease (ESRD) patients with chronic obstructive pulmonary disease (COPD) are lacking. Here, we compared acid-base balance and blood gasses among 14 patients with established COPD (group A) and eight patients with normal respiratory function (group B). The two groups were homogeneous for age, time on dialysis, and male/female ratio. At the beginning of dialysis, acid-base balance and blood gasses were comparable between patients of groups A and B. A significant difference between groups was observed only in pCO(2) at 20 min, together with a delay in pH increase. Effective correction of acidosis was reported at the end of dialysis and is not significantly affected by COPD. Nevertheless, weight loss must be carefully monitored in these patients in order to prevent hyperhydration and worsening of respiratory function.

MANCA DI VILLAHERMOSA, S., Tedesco, M., Lonzi, M., Della Rovere, F., Innocenzi, A., Colarieti, G., et al. (2008). Acid-base balance and oxygen tension during dialysis in uremic patients with chronic obstructive pulmonary disease. ARTIFICIAL ORGANS.

Acid-base balance and oxygen tension during dialysis in uremic patients with chronic obstructive pulmonary disease

MANCA DI VILLAHERMOSA, SIMONE;TACCONE GALLUCCI, MASSIMO
2008-01-01

Abstract

Recent reports on the effects of dialysis on acid-base balance and metabolic acidosis correction in end-stage renal disease (ESRD) patients with chronic obstructive pulmonary disease (COPD) are lacking. Here, we compared acid-base balance and blood gasses among 14 patients with established COPD (group A) and eight patients with normal respiratory function (group B). The two groups were homogeneous for age, time on dialysis, and male/female ratio. At the beginning of dialysis, acid-base balance and blood gasses were comparable between patients of groups A and B. A significant difference between groups was observed only in pCO(2) at 20 min, together with a delay in pH increase. Effective correction of acidosis was reported at the end of dialysis and is not significantly affected by COPD. Nevertheless, weight loss must be carefully monitored in these patients in order to prevent hyperhydration and worsening of respiratory function.
2008
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/14 - NEFROLOGIA
English
Con Impact Factor ISI
MANCA DI VILLAHERMOSA, S., Tedesco, M., Lonzi, M., Della Rovere, F., Innocenzi, A., Colarieti, G., et al. (2008). Acid-base balance and oxygen tension during dialysis in uremic patients with chronic obstructive pulmonary disease. ARTIFICIAL ORGANS.
MANCA DI VILLAHERMOSA, S; Tedesco, M; Lonzi, M; Della Rovere, F; Innocenzi, A; Colarieti, G; Favarò, A; Chamoun, G; TACCONE GALLUCCI, M
Articolo su rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/58692
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 9
  • ???jsp.display-item.citation.isi??? 6
social impact