Acute hemolysis due to profound hypo-osmolality. A complication of hemodialysis

R. Said, A. Quintanilla, N. Levin*, Peter T Ivanovich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Acute hemolysis in maintenance hemodialysis patients is not a rare occurrence. Significant hemolysis is life-threatening and may be unrecognized because of nonspecific symptomatology. This paper reports observation of a severe hemolytic episode in a hemodialysis patient. The hemolysis was associated with a sudden drop in serum osmolality and profound hyponatremia, resulting from accidental dialysis against deionized water. Recognizing the condition and treating it promptly by dialysis with physiological dialysate are essential for patient survival.

Original languageEnglish (US)
Pages (from-to)447-452
Number of pages6
JournalRenal Failure
Issue number5
StatePublished - Jan 1 1977

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Nephrology


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