Do you postpone hemodialysis for a period of time after stem cell transplantation in a hospitalized patient with ESKD?
Answer from: at Academic Institution
No. In fact, some patients may require extra HD sessions to manage volume overload post SCT. All ESKD patients are assessed daily for HD and continue to receive thrice-weekly dialysis per routine. If they are persistently hypotensive, they are considered for transition to CRRT.
Not at all. HD for post-HSCT ESRD patients should follow the usual indications for dialysis in any ESRD patient. That may sometimes mean postponing dialysis for an ESRD patient who is post-HSCT, e.g., severe mucositis resulting in decreased intake and no need for volume or metabolic management. At o...