Acute Kidney Injury Clinical Trial
Official title:
Low Dialysate Temperature to Prevent Intradialytic Hypotension During SLED in AKI
Objectives: This study is evaluating the hemodynamic effects of lowering the dialysate
temperature in acute kidney injury (AKI) patients submitted to sustained low efficiency
dialysis (SLED) in a single large center.
Methods: Participants will be randomly assigned to two treatment groups. One group will be
started treatment with low temperature (set point 5 on the machine which is around 35°C) for
one treatment and then alternate between high and low temperatures for a maximum of 8
treatments. The other group will be started with high temperature (set point 9 on the machine
which is around 37°C) for the first treatment then alternate between high and low
temperatures for a maximum of 8 treatments. Each participants will need at least two
treatments, one with each temperature to be included in the analysis. The investigators will
be looking for the number of events during a SLED treatment. Events will be defined as drop
in systolic blood pressure ≥ 20 mmHg or drop in mean arterial pressure (MAP) of ≥10 mmHg,
requirement of resuscitation with IVF after initiation of SLED, initiation or increase
requirement of vasoactive drugs.
n/a
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