← brief for 2026-09-05 · Regeneration & devices

Physiologically-Guided Ultrafiltration: A Proposed Ultrasound Framework for Individualized Volume Removal During Hemodialysis.

Key takeaways

This paper proposes using ultrasound to decide how fast to pull fluid off during dialysis, instead of going by weight gained between sessions and a doctor's judgment. Pulling fluid faster than about 13 mL per kilogram of body weight each hour is tied to a much higher risk of dying from heart problems. Blood pressure crashes during dialysis stun the heart, speed the loss of whatever kidney function is left, and wear the heart down over time. This is a proposed framework, not a trial, so there is no evidence yet that using it improves outcomes.

Who did this work

Patel S · Bootwala A · Green A

Source

Article · PubMed, Lifestyle and CKD · 2026 Sep
https://pubmed.ncbi.nlm.nih.gov/42698283/