Acute hypercapnic respiratory failure associated with hemodialysis

Carlos R. Franco Palacios, Abdullah Altayeh, Qi Qian

Research output: Contribution to journalArticle

Abstract

Patients undergoing hemodialysis are subject to recurrent acid-base perturbations. Prior to each dialysis treatment, they are relatively acidemic, which is corrected rapidly during dialysis. We report a patient with obesity, obstructive lung disease, and pneumonia who developed acute respiratory failure triggered by an infl ux of high bicarbonate during dialysis. This case emphasizes that in patients with severely compromised respiratory reserve, a large amount of bicarbonate infl ux during hemodialysis may cause acute CO 2 accumulation and ventilatory distress. An individualized approach with judicious adjustment of the dialysate bicarbonate concentration may be necessary.

Original languageEnglish (US)
Pages (from-to)83-85
Number of pages3
JournalDialysis and Transplantation
Volume40
Issue number2
DOIs
StatePublished - Feb 2011

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

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