Publisher: Karger Medical and Scientific Publishers
Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.
This book is a thorough guide to dialysis that will assist in the effective treatment of patients. Current knowledge on all aspects of dialysis, including the most recent advances, is presented and the various techniques used in dialysis patients are described step by step. Both hemodialysis and peritoneal dialysis are fully considered. The coverage of hemodialysis explains the procedure and its indications and provides guidance on challenging topics such as vascular access, response to acute and chronic complications, and on-line hemodiafiltration. The discussion of peritoneal dialysis includes explanation of peritoneal physiology, the principles of prescription, and the treatment of peritonitis and exit site infection. A summary of updated dialysis-related guidelines is included at the end of the book. The lucid text is supported by more than 200 full-color illustrations that clarify anatomy, vascular/peritoneal access, and dialysis procedures and techniques. The Essentials of Clinical Dialysis will be of value for all who are involved in the management of dialysis patients and will be a helpful guide for training of physicians and healthcare associates in the dialysis center.
Publisher: Karger Medical and Scientific Publishers
As the frequency of hemodialysis sessions has always been a concern, it is not astonishing that interest in quotidian (daily) hemodialysis appears to be growing worldwide. The main reasons for more frequent dialysis are to maximize well-being and minimize both intra- and interdialytic symptoms, as well as to improve the treatment of patients with severe underlying medical problems, particularly cardiovascular disease. Moreover, studies also indicate overall potential cost savings as compared with current conventional hemodialysis.There are two options available, namely short daily and long nightly treatments. The main difference centers on the ability of the nightly regimen to remove greater amounts of phosphate and beta-2-microglobulin. Even so, there is no doubt that both treatments are highly preferable to conventional three times weekly dialysis. Further issues which are discussed include the requirements necessary to run dialysis programs, vascular access requirements, and the management of complications and risks such as calcium and phosphorus control. This is the first publication devoted solely to daily hemodialysis therapies: Concentrating on clinical and technical issues, it is an important contribution to the practical development of daily hemodialysis and is highly recommended to nephrologists, nurses, managers of renal programs and others involved in renal care.
This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.
The incidence of treated end stage renal disease (ESRD) continues to rise, particularly in the western world. Although renal transplantation is the treatment of choice for ESRD, the decline in the number of cadaveric organs, coupled with the rising demand for transplantation, means that an increasing number of patients will have to depend on dialysis. Vascular or peritoneal access is the Achilles' heel of any dialysis service.This book offers a clear description of the state of the art in providing and preserving a durable and reliable access. It also points the way to dialysis in the 21st century. The contributing authors are drawn from a wide background, with expertise in various aspects of dialysis access, including its history, the technique of placement, anaesthesia, radiology, nursing care and training of vascular access surgeons.There is currently a dearth of books on the subject of dialysis access. The few existing books on vascular access were written in the United States, with none from the UK. This volume is intended for use by transplant surgeons, general surgeons with an interest in vascular access, vascular surgeons, nephrologists, trainees and nurses. Dialysis services are expanding worldwide and this book is an invaluable guide for those involved in daily patient care and organisation of dialysis services.
This comprehensive reference on the fundamentals of hemodialysis access creation and advanced management for maintenance is designed to meet the needs of all surgeons and physicians responsible for the treatment and care of patients undergoing dialysis. The book opens by discussing every aspect of dialysis access planning, including selection of the right access for the individual patient and access strategies. Hemodialysis access techniques, from the most basic to the most complex and unconventional, are then described step by step, and guidance is provided on follow-up. Detailed attention is also devoted to the challenging management of specific complications of dialysis access surgery, including failing hemodialysis access. The book includes a wealth of informative, high-quality images and illustrations, and the authors are prominent vascular surgeons, transplant surgeons, general surgeons, nephrologists, and interventional radiologists from across the United States.
Overcome the toughest clinical challenges in nephrology with Brenner & Rector’s The Kidney -- the most well-known nephrology resource in the world. A diverse team of more than 200 international contributors brings you the latest knowledge and best practices on every front in nephrology worldwide. From basic science and pathophysiology to clinical best practices, Brenner & Rector’s The Kidney is your go-to resource for any stage of your career. Review of the basic science that underpins clinical nephrology, comprehensive selection of the most important bibliographical sources in nephrology, and Board Review-style questions help you prepare for certification or recertification. Coverage of kidney health and disease from pre-conception through fetal and infant health, childhood, adulthood, and into old age. Expanded sections and chapter on global perspective and ethical considerations. Uniform terminology and nomenclature in line with emerging consensus in world kidney community. More than 700 full-color high-quality photographs as well as carefully chosen figures, algorithms, and tables to illustrate essential concepts, nuances of clinical presentation and technique, and decision making provide a visual grasp and better understanding of critical information. Internationally diverse, trusted guidance and perspectives from a team of well-respected global contributors . An editorial team headed by Dr. Skorecki and handpicked by Dr. Brenner ensures the ongoing adherence to previous standards of excellence. All chapters have been extensively updated or entirely rewritten by authorities in their respective fields. The latest clinical information including recent clinical trials, genetic causes of kidney disease, cardiovascular and renal risk prediction in chronic kidney disease, new paradigms in fluid and electrolyte management, and pediatric kidney disease, keep you current with the rapid development of care and research worldwide.
This book describes the past, present and future of dialysis and dialysis-related renal replacement therapies so that the reader can acquire a firm grasp of the medical management of acute and chronic renal failure. By becoming thoroughly conversant with the past and present of dialysis, a health care professional will be in a much better position to provide the best standard of care to patients suffering from renal failure. As the book highlights the unsolved operational obstacles in the field of renal replacement therapies, future innovators may be inspired to develop novel solutions to tackle these problems. This remarkable work is a must-read not just for health care providers in the dialysis industry, but for patients, dialysis equipment manufacturers as well as pharmaceutical companies.
Awarded second place in the 2018 AJN Book of the Year Awards in Medical-Surgical Nursing! Healthcare is evolving at an incredible pace and with it, the roles and responsibilities of the medical-surgical nurse. Ensure you are fully equipped to thrive and adapt in this ever-changing nursing environment with Ignatavicius, Workman, and Rebar's Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 9th Edition. This trendsetting text not only covers all essential adult health knowledge, but also reinforces the application, conceptual thinking, and clinical judgment skills that today’s nurses need to stay one step ahead in delivering exceptional patient care, no matter the environment. As with previous "Iggy" editions, you’ll find a unique collaborative care approach to adult health nursing, a thorough integration of QSEN competencies, extensive NCLEX® Exam preparation, and a direct, reader-friendly tone throughout the text. This ninth edition incorporates two emerging and complementary trends — the Core Competencies for Interprofessional Collaborative Practice and a more conceptual approach teaching and learning — areas that will ground you in how to think like a nurse and how to apply the knowledge you gain from the text to clinical practice. There are a lot of med-surg nursing texts out there, but there’s only one that combines all the information, concepts, and on-the-job realities in a way that makes perfect sense: "Iggy!" Trendsetting QSEN integration emphasizes patient safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alerts, Critical Rescues, and Action Alerts. UNIQUE! Emphasis on clinical judgment helps you develop skills in clinical reasoning and clinical decision-making when applying concepts to clinical situations. Strong emphasis on NCLEX Exam preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections organized by NCLEX Client Needs Categories, plus NCLEX Examination Challenge questions, with an answer key in the back of the book and on the Evolve companion website. Exceptionally readable content features shorter sentences, straightforward vocabulary, and a direct, reader-friendly writing style.
This volume provides a concise and up to date resource that directly addresses the needs of general surgeons who perform vascular surgery by focusing on the diagnosis and clinical management of common vascular conditions. The volume is divided into sections on arterial disease, venous disease, vascular trauma, and vascular access. Chapters on arterial disease outline the management and surgical techniques for the treatment of acute limb ischemia, compartment syndrome, and diabetic foot infections. Chronic arterial disease is addressed in chapters devoted to the management of claudication, critical limb ischemia, and lower extremity amputation. The section on vascular trauma emphasizes surgical intervention for blood vessel injuries that occur in the neck, abdomen, and extremity. Vascular access chapters deal with the technical aspects and potential complications of temporary venous access catheters and permanent arteriovenous access for hemodialysis. More complex vascular topics are also covered with chapters that are shorter in length and focused on the diagnosis and a broad understanding of treatment options. Essentials of Vascular Surgery for the General Surgeon is the first of its kind to accurately mirror the SCORE curriculum for vascular disease as a patient care topic in general surgery training, acting as a “one stop” information source that general surgery trainees can turn to as a clinical reference and as a study guide for general surgery in service exams and board.
This comprehensive, peer-reviewed resource sets the standard for nephrology nursing clinical practice. Written by experts in the field, the 2020 edition presents the newest information regarding kidney disease, its treatment, and the nursing care involved. New and updated content reflects current policy and terminology, including health information technology, collaboration with ESRD Networks, economics of ESRD reimbursement, nutritional needs of patients undergoing bariatric surgery, nutritional needs of pregnant patients, advance care planning, palliative care, and end-of-life care. The seventh edition contains almost 1,800 pages divided into two volumes, includes self-assessment questions, and provides more than 60 nursing continuing professional development contact hours and almost 12 pharmacology hours.