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This is a prospective observational pilot study of patients under the care of the Royal Free Hospital with chronic kidney disease who have been established on regular thrice weekly haemodialysis treatments in a dialysis centre,to measure the changes in blood flow in the ear during haemodialysis.
10 patients, attending for thrice weekly outpatient haemodiafiltration shall be studied during a dialysis session using a CE marked commercially available digital otoscope capable of recording digital videos of the tympanic membrane and ear canal.
Patients will receive standard clinical care and monitoring of their dialysis session, which includes recording of blood pressure and changes in haematocrit and volume status during dialysis and noting patient symptoms.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| no intervention | Other | observational study |
| Measure | Description | Time Frame |
|---|---|---|
| change in ear blood flow | percentage change in ear blood flow compared to initial ear blood flow | day 1 dialysis session |
| Measure | Description | Time Frame |
|---|---|---|
| change in blood pressure | change in blood pressure in mmHg compared to starting blood pressure | day 1 dialysis session |
| change in haematocrit volume status | percentage change in haematocrit |
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Inclusion Criteria:
Exclusion Criteria:
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patients with chronic kidney failure attending for regular dialysis treatment
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| vashist deelchand | Contact | 02077940500 | vashist.deelchand@nhs.net |
| Name | Affiliation | Role |
|---|---|---|
| andrew davenport | UCL Centre for Nephrology, Royal Free Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Royal Free Hospital | Recruiting | London | NW32QG | United Kingdom |
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| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| day 1 dialysis session |
| record of hypotensive episodes during dialysis | record of nursing interventions including reduction in ultrafiltration volume, administration of intravenous fluids. Use of distress thermometer visual analogue scale to record patient symptoms | day 1 dialysis session |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |