How to deal with mechanical hemolysis in hemodialysis?

When hemolysis is suspected, dialysis should be stopped immediately. Prevent the blood in the pipeline from being transfused back into the body to prevent the potassium ions released by hemolysis from causing complications such as hyperkalemia and acute pancreatitis. Further laboratory tests are performed on the patient, including hemoglobin, hematocrit, LDH, amylase and lipase, and liver function indicators. Patients with severe anemia need blood transfusion treatment, and critically ill patients are transferred to the intensive care unit for rescue depending on the situation. If multiple patients experience hemolysis in the same dialysis unit, dialysate contamination, defects in the same batch of pipelines, or problems with the osmotic pressure of the dialysate should be suspected. Potential causes should be systematically evaluated to avoid hemolysis during subsequent dialysis. Root cause analysis should be performed after each hemolysis, and every link in the dialysis process should be checked. The dialysis tube and needle should be kept for investigation. Hemolysis caused by pipeline bending requires analysis and investigation of potential causes such as pipeline installation, pipeline length, equipment, and accessories.