To manage intra-dialytic BP in HD patients some nephrologists tend to modulate, i.e.,decrease the Na-level of the dialysate. Is this a proven strategy ?
This is a much debated subject! There are lots of reviews from approx 10 years ago when sodium modelling was very much 'in', but this more recent study provides a useful bottom line. I note you ask specifically about intra-dialytic blood pressure. One of the purposes of sodium modelling was specifically to improve this. Impacts on inter-dialytic blood pressure are reported also.
Andrew Davenport has published quite widely on this subject.
In the 2000's F Shortgen and the Henri Mondor's team ( APHP, France) demonstrated the impact on the systolic blood pressure of a dialysate sodium concentration at least of 145 mmol/l.
Since this publication, we used this dialysate Na concentration for all AKI patients which received hemodialysis.