A CLINICAL REPORT ON BODY COMPOSITION MONITORING IN HEMODIALYSIS
Partha Pratim Das, Sharmily Chakraborty and Tapan Kumar Chatterjee*
ABSTRACT
The achievement of a normal hydration state in patient is one of the most important goals of hemodialysis treatment. Several parameters related to body composition need to be monitored continuously to achieve this goal. Apart from routine clinical judgment, Body Composition Monitoring machine has been specifically designed for patients with kidney failure to study parameters related to hydration. Using BCM machine, a prospective, observational, multicenter study was performed between September 2014 and February 2015. A group of 20 people were included in the study out of which 4 were healthy persons and remaining were patients of Chronic Kidney disease and other diseases. The aim and objective of this study was to find out if there was any advantage in using the BCM tools compared to Routine Clinical Judgement for preventing over hydration (OH) and avoiding intradialytic hypotension. Different parameters like over hydration, urea distribution volume (v), systolic and diastolic blood pressure, total body water(TBW), lean body mass (LBM), Body mass index(BMI) etc. were monitored and compared between kidney failure and healthy persons. The study confirmed a marginal better performance to prescribe dry weight but on the other hand it was considered that although the BCM recommendation is accurate for the ideal extracellular volume but maximum time we may not a be able to reach that fluid status (that is dry weight).
Keywords: Over-hydration, Chronic kidney disease, Body composition monitoring, dry weight.
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