Segmental bioimpedance in pregnant end stage renal failure patient for dry weight titration and volume management (case report).

ABSTRACT:

Background

Volume assessment, dry weight titration, and blood pressure control in pregnant kidney failure patients are often challenging, with physiological fluid accumulation in the trunk and lower limbs and an increased risk of preeclampsia. We used segmental bioimpedance in the volume management of our kidney failure patient on haemodialysis.

Case presentation

We report a case of a female patient on maintenance haemodiafiltration with no residual kidney function for whom we used segmental bioimpedance to guide dry weight adjustment. At different gestational periods, we targeted a different extracellular to total body water ratio according to body segments. This allowed us to support her high-risk pregnancy, identify her as probably developing preeclampsia and trigger a pl

SUBMITTER: Haroon S 

PROVIDER: S-EPMC10598990 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature