Tanveer Fatima, Aurangzeb Afzal, Sania Ashraf.
Chronic Kidney Disease; Acute Intradialytic Complications in Chronic Kidney Disease patients on Hemodialysis.
Professional Med J Jan ;25(6):887-91.

Introduction: Hemodialysis is a process of removal of waste products and toxic substances from the body using an extracorporeal system. During the procedure, lots of hemodynamic and metabolic changes occur in the body as a result of which patients undergoing hemodialysis may suffer from complications both acutely during or just after dialysis as well as in long term. Objective: To determine the frequencies of various acute intradialytic complications in our hemodialysis patients. Study Design: Cross sectional survey. Setting: Lahore General Hospital, Lahore. Period: 3 months from May 2017 to July 2017. Method: End stage renal disease patients on regular hemodialysis in the dialysis unit of a tertiary care hospital. A total of 81 patients were included in the study. Patients with acute renal failure and acute on chronic renal failure were excluded from the survey. Results: Common complications observed in our studied population included muscle cramps (70.7%), post dialysis fatigue (57.3%), back ache (56.1%), intradialytic shivering (57.3%), hypoglycemia (21.4%), hypotension (37.8%), hypertension (8.5%), headache (13.4%), vomiting (13.4%) and anaphylaxis in 2.4%. Conclusion: Hemodialysis is a complex procedure and can cause many complications most of which are not life threatening. With proper monitoring and immediate treatment these complications can be overcome without causing interruption in hemodialysis.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com