Background and purpose of the study: The dialysis is the treatment that allows the extracorporeal blood purification for pcs with CKD terminal, It is burdened by numerous complications.

Materials and methods: Having introduced rigid control protocols from January 1 to December 31, 2016 at the Center Hospital dialysis time Pausanias. We follow 44 dialysis patients, and verified the incidence of complications identified by the operating protocols of the center. In particular, we focused on respiratory complications groped for an improvement.

Results: 39 complications including seizures, 14 pyrogenic crisis including 2 sepsis. air embolism: 0 cases. The monitors security systems guarantee high operating standards. circulatory overload (SCC): in 5 circumstances were needed emergency dialysis for the EPA onset. In three cases there was an association of pulmonary infection and SCC. Pneumonia: 11 episodes of patient short of breath, of which one death from pneumonia associated with severe condition of SCC. Allergic asthma attacks: 3 patients had the need to change film; in two cases it was sufficient to pass modified cellulosic membranes, while in a case the persistence of the clinical picture has necessitated the use of a PMMA membrane.

Conclusions: these episodes are of sentinel events that highlight the need for proper protocols for the management of the dry weight of the patient, performing as a routine screening Eco Pulmonary, more sensitive X-ray examination, to be combined with other previously estimated parameters, in order to arrive at a more complete view of the state of hydration of the patient.