Authors : Dr. Rameshwar S. Rathod Mr. Rahul N. Patil Mr. Vikas D. Kedar Mr. Prashant V. Vyavahare Mr. Hemant V. Raut Ms. Supriya K. Jadhav
DOI : 10.69980/redvet.v25i2.1299
Volume : 25
Issue : 2
Year : 24
Page No : 319-337
Background: When the kidneys are unable to eliminate toxic substances (impurities or wastes) from the blood, hemodialysis is a viable option. Hemodialysis is a continuous process that takes approximately 4 hours to complete. Unlike normal kidneys, it cannot continuously monitor body functions. However, after a hemodialysis session, it can remove waste products and restore pH and electrolyte levels. Numerous changes in the fluid and mineral compartment occur during the procedure, which causes patients to experience a range of complications ranging from minor to potentially fatal. The study's objectives are to assess and analyse complications that arise from hemodialysis as well as to ascertain the occurrence of such complications. Methods: This was a prospective study. A data collection form was used to collect demographic data, surgery, comorbidity and the self-design severity scale to note during hemodialysis. Results: Of the 190 patients in total, 70 (36.6 %) were female and 120 (63.15 %) were male. In 166 (88 %) of the patients who were interviewed, the venous access used for hemodialysis was an arterio venous fistula (AVF). F6HPS was administered as the dialyzer to 82 patients (43.15 %). Our self-made assessment tool revealed that 141 patients (74.21 %) had severe complications, 23 patients (12.105 %) had moderate complications, and 30 patients (15.78 %) had mild complications. In a different investigation, [Mehmood et al.,2016] 12.5 % of patients experienced cramps, and 37.5% experienced hypotension. In our study, cramps affected 18 patients (28 %) and hypotension affected 25% of patients as an intra dialytic complication. The primary complications in our study involving patients with AKI and CKD were these two issues. In our study, there is no discernible relationship between age and sex distribution. Conclusions: According to our study, it is concluded that hypotension (47.8 %), muscle cramps (43.6 %), and hypertension (30.5 %) occur commonly and necessary precautionary measures has to be kept in line, if in case an emergency occur. Fever (3.6 %), hypoglycemia (1.57 %), nausea and vomiting (12.6 %). Significant relationship was seen between complications and age and renal failure in contrasting to it no significant relationship not seen between sex and type of access.