Does uremia protect against the XXXX associated with correction of @entity2753 during hemodialysis? A case report and literature review.

@entity1 @entity17 @entity2657 @entity1133 @entity16 @entity1372 @entity177 @entity1381 @entity2753
Rapid correction of chronic @entity2753 is known to cause @entity17 , which are attributed to the rapid shift of water out of the brain. In @entity1381 @entity1 with @entity2753 , depending on the dialysate @entity1372 concentration and delivered Kt/V, serum @entity1372 levels may be rapidly corrected inadvertently during the hemodialysis (HD) session. It is not known whether @entity1381 @entity1 are as susceptible to the development of @entity17 as @entity1 with normal renal function. Since urea diffuses slowly across the blood-brain barrier, it can act as an effective osmole between plasma and the brain if levels are changed abruptly. During HD, blood @entity1133 levels drop suddenly and significantly and @entity2657 may develop (dialysis disequilibrium syndrome). This effect may counteract the fluid shift out of the brain during correction of @entity2753 . Therefore, theoretically, @entity1381 @entity1 may be less prone to develop @entity17 . We present a @entity1 with @entity177 whose @entity2753 was corrected rapidly during HD to illustrate the potential problem. The @entity1 tolerated rapid correction of @entity2753 without sustaining any @entity16 . We performed a literature search looking for similar case reports and reviewed the scientific evidence behind the above hypothesis.
