Massachusetts General Hospital
The investigators are examining how adding relative blood volume monitoring (RBVM) to the best clinical practice affects outcomes (length of stay and rehospitalization) among dialysis patients hospitalized for or with volume overload.
Inclusion Criteria: * Maintenance hemodialysis dependent ESRD patients hospitalized for or with volume overload at either MGH or BWH * Received at least one hemodialysis session during the index hospitalization * Meet the following previously published criteria for volume overload: a) Clinical impression of volume overload and/or an acute heart failure exacerbation, or b) Respiratory compromise defined as subjective dyspnea or presenting oxygen saturation \<92% on room air plus \>2 of the following signs: i) Jugular venous distension, ii) Third heart sound, iii) Bibasilar lung rales or cra…
The intervention of interest for this prospective study is guidance obtained by relative blood volume monitoring (RBVM) using the Crit-Line IV Monitor or CLiC device. The application of RBVM versus no application of RBVM during inpatient hemodialysis sessions will be according to the standard of care at the participating hospital.
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