- We suggest that extended dialysis hours should be considered for individuals who fail to achieve adequate BP control or experience IDH during the standard thrice weekly dialysis if the resources are available. (2A)
- We suggest that lowering dialysate temperature can reduce incidence of IDH in patients prone to this condition. (2A)
- We suggest that online haemodiafiltration (HDF) could be trialled in patients experiencing symptomatic IDH to improve CV tolerance of treatment. (2B)
- We suggest that HDF should only be considered once alternative causes for IDH have been addressed and where patients have failed to respond to other methods. (2C)
- We suggest that HDF should not be used as a treatment strategy to control BP in patients who are hypertensive. (2C)
- We recommend that bicarbonate-based dialysate should be used rather than acetate-based solutions to reduce IDH risk. (1B)
- We suggest that low magnesium dialysate concentrations (≤0.25mmol/L) be avoided, particularly if dialysate calcium is 1.25mmol/L, in patients at risk of IDH. (2D)
- Icodextrin can be a useful tool to control BP when used in conjunction with effective setting and probing of target weight in people who are on peritoneal dialysis. (2D)
Navigate to sections