Risks of Dialysis: Can Patients Face Life-Threatening Issues?

Q: Risks of Dialysis: Can Patients Face Life-Threatening Issues?

Ms. <br>Weng： Hello, regarding your inquiry, it should be related to the patient's pre-existing conditions. <br>If you have the opportunity to accompany your father to dialysis, you will notice that each individual's situation is different and cannot be compared. <br>If your fath

Dialysis-related issues (forwarded from the Director's mailbox)

Is it possible for dialysis patients to experience life-threatening situations during the dialysis process? I saw news from mainland China where someone died during dialysis, and the doctors there mentioned that death could occur at any time during the procedure.
Since I will be taking my elderly father, who is a dialysis and diabetes patient, back to our hometown during the summer vacation, I would like to know if this statement is accurate.
I'm a bit worried after seeing this news...

Weng Xiaojie, 30~39 year old female. Ask Date: 2013/06/20

Dr. Wu Jiyu reply Internal Medicine

Ms.
Weng: Hello, regarding your inquiry, it should be related to the patient's pre-existing conditions.
If you have the opportunity to accompany your father to dialysis, you will notice that each individual's situation is different and cannot be compared.
If your father already has diabetes, the risk of heart disease may also be elevated, and there is a possibility of complications during dialysis due to hypotension.
These issues are not directly related to the location of the dialysis.
If you are considering traveling to mainland China while undergoing dialysis, it is important to carefully select the dialysis facility (for example, BC liver has designated areas to avoid cross-infection).
I believe you can have a pleasant journey, and your father can receive good care.
Thank you for your inquiry.
The Nephrology Department of Changhua Hospital cares about you.

Reply Date: 2013/06/20

More Info

Dialysis is a critical treatment for patients with kidney failure, and while it can be life-saving, it is not without risks. The concerns you've raised about the potential for life-threatening issues during dialysis are valid and deserve careful consideration.
Firstly, it's important to understand that dialysis is a process that removes waste products and excess fluid from the blood when the kidneys are no longer able to perform this function adequately. There are two main types of dialysis: hemodialysis and peritoneal dialysis. Each has its own set of risks and complications.

In hemodialysis, blood is filtered through a machine, and this process can lead to several complications. Some of the most common risks include:
1. Hypotension (Low Blood Pressure): This is a frequent occurrence during hemodialysis. Patients may experience a drop in blood pressure due to the removal of fluid from the body. Severe hypotension can lead to fainting or shock.

2. Infection: The use of catheters or fistulas for accessing the bloodstream can introduce bacteria, leading to serious infections, including sepsis, which can be life-threatening.

3. Cardiovascular Events: Patients on dialysis are at a higher risk for heart problems, including heart attacks and arrhythmias. The stress of dialysis on the body can exacerbate existing cardiovascular issues.

4. Dialysis Disequilibrium Syndrome: This is a rare but serious condition that can occur when there is a rapid change in the body's fluid and electrolyte balance during dialysis, leading to symptoms such as headache, nausea, and in severe cases, seizures or coma.

5. Electrolyte Imbalances: Dialysis can cause fluctuations in electrolytes, such as potassium and calcium, which can lead to serious complications, including cardiac arrest.

6. Anemia: Many patients on dialysis suffer from anemia, which can lead to fatigue and increased risk of heart problems.

7. Psychological Impact: The process of undergoing dialysis can be emotionally taxing, leading to anxiety and depression, which can affect overall health and well-being.

Regarding your concern about the news reports of deaths during dialysis, it is essential to recognize that while these events can occur, they are relatively rare, especially in well-managed patients. The risk of serious complications can be minimized through proper medical care, monitoring, and adherence to treatment protocols.
For your father, who is both a dialysis and diabetes patient, it is crucial to ensure that he is receiving care from a qualified healthcare team that can monitor his condition closely. Before traveling, it would be wise to consult with his nephrologist or healthcare provider to discuss his health status and any necessary precautions. They can provide guidance on managing his diabetes and dialysis needs while away from home.

In summary, while dialysis does carry risks, many patients undergo this treatment successfully and live fulfilling lives. The key is to maintain open communication with healthcare providers, adhere to treatment plans, and be vigilant about any changes in health status. If you have specific concerns about your father's condition or the risks associated with his treatment, do not hesitate to reach out to his medical team for personalized advice and support.

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