Resting energy expenditure and thermal balance during isothermic and thermoneutral haemodialysis: heat production does not explain increased body temperature during haemodialysis

Abstract

Our findings suggest that stable maintenance HD in patients have REE not different from healthy controls, that HD procedure per se does not significantly increase REE and that neither isothermic nor thermoneutral regimen has any influence on metabolic rate. Therefore, body temperature elevation during routine HD may rather be due to decreased heat removal.

With the use of BMT in acute mode, body temperature can be kept stable, which requires active cooling.

Keywords

• blood temperature monitor
• isothermic haemodialysis
• resting energy expenditure
• thermal balance
• thermoneutral haemodialysis
• ultrafiltration