[abstract] Additional risk of dialysis in patients receiving HBO2 for limb salvage

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[abstract] Additional risk of dialysis in patients receiving HBO2 for limb salvage

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Title: [abstract] Additional risk of dialysis in patients receiving HBO2 for limb salvage
Author: Wilcox, JR; Warriner, RA; Stewart, D; Paez, NJ
Abstract: Introduction/ Background: More than 15 million Americans have chronic kidney disease, of which approximately 500,000 require dialysis. The overwhelming majority of these patients haves diabetes. Greater than 90 percent of all dialysis patients have multiple risk factors for sudden death. Materials and methods: We searched Medline and Cumulative Index to Nursing and Allied Health Literature databases using the following search terms; diabetic, dialysis, end-stage renal disease, end-stage kidney disease, hemodialysis, peritoneal dialysis, congestive heart failure, myocardial infarction, sudden death, coronary artery disease, HBO2 and hyperbaric oxygen. Data from the United States Renal Data System (USRDS) was also reviewed. Surprisingly no articles related to dialysis and hyperbaric oxygen therapy was found. Results: Cardiac disease is the single leading cause of death for both hemodialysis and peritoneal dialysis patients. Arrhythmic mechanisms or sudden cardiac arrest is implicated in 60 percent of all cardiac deaths in dialysis patients in the United States Renal Data System database. Dialysis patients sustaining cardiac arrest or an arrhythmia suffer poor long-term survival, with a two-year mortality rate of 74 percent. Extensive retrospective studies have reported nearly a 50 percent increased frequency of sudden cardiac death on Mondays (for patients dialyzing Monday, Wednesday and Friday), and Tuesdays (for patients on a Tuesday-Thursday-Saturday) schedule. Summary/Conclusion: A large number of structural and functional peripheral vascular and cardiac abnormalities including electrolyte imbalance and hemodynamic instability places these patients at high risk for sudden death. We will discuss related issues and suggest strategies for managing these high-risk HBO2 patients.
Description: Undersea and Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc.
URI: http://archive.rubicon-foundation.org/10037
Date: 2011

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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