Dellanna F, Stippel D, Schmitz W, Baldamus CA
Safety of hemodialysis machines: Surveillance of the venous blood return
Am Soc Nephrol
J Am Soc Nephrol (abstract) (Nov) 6:486 1995

The purpose of the lower venous pressure alarm is to protect against continued blood flow in the event of accidental disconnection. Some machines keep this limit close to the operating venous pressure throughout dialysis, whereas with other machines, the limit can be set manually, usually 20-50 mm Hg on either side of the operating pressure. As the venous pressure tends to fluctuate, it is difficult to manually keep the pressure limits very close to the operating pressure.

Dellanna et al report 3 patients in whom the venous needle worked its way out of the fistula without triggering the venous pressure alarm, and without stopping the blood pump. They then did some simulation studies and found that the venous pressure fell by only about 20 mm Hg when the venous needle was pulled out of the fistula, most of the resistance being in the needle itself. The data suggest that the lower venous pressure limit should track the operating venous pressure closely, and should be within 10-20 mm Hg of the operating pressure if the alarm is to be activated in a disconnect situation. (Daugirdas)

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