Dialysis Access: A Multidisciplinary Approach gives radiologists, nephrologists, and surgeons the complete knowledge base they need to deliver effective, coordinated care to dialysis patients with vascular access needs. This practical guide explains how to implement the National Kidney Foundation's Dialysis Outcomes Quality Initiative (DOQI) guidelines for vascular access and details procedures for creating vascular access...monitoring access failure...treating blocked access...and inserting and using catheters. Dr. Gray is the lead author for the Society of Cardiovascular and Interventional Radiology (SCVIR)'s Dialysis Access Reporting Standards. International contributors are expert interventional radiologists, nephrologists, and vascular access surgeons. Dialysis Access: A Multidisciplinary Approach fully integrates these specialties' perspectives.
The proceedings from a conference on vascular access for hemodialysis (date and location not given) include 32 papers and transcripts from seven panel discussions. Topics include intimal hyperplasia, radiological intervention, unusable brescia fistulas, the Lifesite hemodialysis access system, vascular access infections, Medicare's ESRD program, transposed brachiobasilic fistula, basilic vein transposition, ischemic monomelic neuropathy, grafts, HIV, femoral catheters, the role of nursing, treatment of the elderly, and CPT and ICD-9 coding. c. Book News Inc.
This publication is intended as a guide to common diagnostic, operative and percutaneous techniques used in creating and maintaining vascular access for hemodialysis. When writing the text, the authors have focused on surgeons in training, fellows, interventional radiologists and clinically active nephrologists. Dialysis nurses and other clinicians involved in the care of end stage renal disease and dialysis patients will also greatly benefit from this handbook. This 2nd edition of the text contains expanded sections on ESRD, access surveillance and surgical and diagnostic devices, as well as new sections on peritoneal and dual lumen catheter placement, commonly used drugs and dialysis, hemo- and peritoneal dialysis techniques and CPT and ICD coding for statistical and billing purposes. These changes reflect the highly technical nature of clinical management in this evolving specialty.
This comprehensive reference details the techniques for establishing vascular access for hemodialysis and other acute and chronic conditions that require access to the circulation along with peritoneal dialysis access methods. Includes over 960 references and more than 160 tables, figures, and photographs. Vascular Access in Clinical
The proceedings from a conference on vascular access for hemodialysis (date and location not given) include 32 papers and transcripts from seven panel discussions. Topics include intimal hyperplasia, radiological intervention, unusable brescia fistulas, the Lifesite hemodialysis access system, vascular access infections, Medicare's ESRD program, transposed brachiobasilic fistula, basilic vein transposition, ischemic monomelic neuropathy, grafts, HIV, femoral catheters, the role of nursing, treatment of the elderly, and CPT and ICD-9 coding. c. Book News Inc.
This practical and comprehensive book provides "how-to" information on all aspects of access to the vascular system for hemodialysis, parenteral nutrition, chemotherapy, and resuscitation. Preoperative evaluation, operations, noninvasive procedures, complications, and other aspects are detailed. This edition provides increased coverage of non-interventional techniques and includes new chapters on management of thrombophilia in hemodialysis patients; modulation of the immune system to prevent myointimal hyperplasia; synthetic grafts; venous outflow stenting for salvage of vascular access procedures; and ultrasound in vascular access procedures. This book is essential for all clinicians treating patients who require vascular access, including vascular surgeons, general surgeons, nephrologists, dialysis technicians and nurses, radiologists, and cardiologists.
Substantially revised to reflect the most recent surgical techniques and practices, this reference describes the most effective strategies to prevent, identify, and manage complications in vascular surgery-guiding surgeons through patient selection; instances of entrapment, malpositioning, and rupture; emerging endovascular treatments; and specific
This book offers a comprehensive overview of up-to-date knowledge on vascular access surgery. Written by a senior author with more than 30 years of experience and by expert contributors, it covers both surgical and theoretical aspects. The author shares his expertise in a hands-on approach and presents his views on the difficulties that every clinician may encounter. The various options for vascular access creation are carefully reviewed. Detailed descriptions and numerous accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterio arterial grafts are provided, and a chapter is also devoted to the use of central venous catheters. Potential complications and their management are explained, and advice is offered on how to deal with special patient groups requiring extra attention. Separate chapters on fluid dynamics (drawing on the author’s own research) and vascular pathology cater for the needs of those with a particular interest in the pathophysiological principles.
This book describes the current status of vascular access for patients with end-stage renal failure who require dialysis. The book highlights controversial areas and problems and describes differences in practice in USA and Europe. Vascular Access is the Achilles heel of dialysis. In the United States and Europe in 1999 there were in access of 400,000 patients maintained on dialysis. The success of this life sustaining procedure is dependant on being able to successfully access the circulation and obtain blood flows of between two and five hundred mls per minute three times a week. In 1964 Cimino and Brescia described what remains today the premier form of vascular access. Not long after the development of the Cimino Brescia fistula it became apparent that there were patients in whom it was either impossible or extremely difficult to create an adequate fistula for dialysis. As dialysis technology has been applied to older and sicker patients this trend has continued, such that in the United States the majority of patients starting dialysis do not have a primary fistula. The maintenance of long-term vascular access in patients who do not have a primary fistula requires considerably increased effort. In recent years a number of innovations have considerably increased the success of long- term vascular access in these patients. This book brings together these developments, including strategies to prospectively detect impending vascular access failure, and strategies to pre-emptively prevent graft failure. Simultaneously with these developments there have been dramatic improvements in our understanding of the pathophysiology of graft failure, this improved understanding of the biology of access failure are beginning to bring to the clinical arena newer strategies to delay graft failure.
Cet ouvrage prend pour base la formation dispensée auprès des infirmier(e)s par l'AFIDTN sur l'abord vasculaire pour hémodialyse. Après avoir rappelé les grandes généralités, l'ouvrage développe: - la préparation pour la création de l'abord vasculaire pour hémodialyse; - les différentes techniques de création de l'abord vasculaire; - l'utilisation de l'abord vasculaire. Les complications de l'abord vasculaire, ainsi que les différents traitements, sont ensuite exposés. Puis, les grands principes de la stratégie et de la préservation du capital vasculaire sont définis. L'ouvrage, tout en couleurs, intègre de très nombreuses illustrations et s'achève sur des fiches-conseils. Ouvrage clinique, voulu pour l'usage au quotidien, il permet différents niveaux de lecture, selon les connaissances, l'expérience et les besoins de chacun. Ce guide complet et pédagogique est destiné aux infirmier(e)s de dialyse, transplantation et néphrologie et aux étudiant(e)s en IFSI. Il intéresse également les médecins qui prennent en charge de façon pluridisciplinaire les patients insuffisants rénaux. Cette troisième édition actualise entièrement les données techniques et cliniques sur le sujet: nouveaux abords, nouvelles techniques d'imagerie ou d'exploration invasive, spécificités pédiatriques, complications vasculaires ou cutanées. Des auteurs reconnus, chirurgiens, néphrologues, anesthésistes, radiologues, angiologue se sont associés aux infirmier(e)s, dans le cadre de l'AFIDTN (Association Française des Infirmier(e)s de Dialyse, Transplantation et Néphrologie), pour faire de ce livre un ouvrage de référence.
Publisher: Karger Medical and Scientific Publishers
ISBN: 9783805576512
Category: Medical
Page: 472
View: 321
Recent developments have spurred a renewed interest in novel solutions to access the patient circulation, mainly concentrating on vascular access for renal replacement therapies and on peritoneal dialysis access.Starting with the epidemiology, the focus then shifts to the evolution of new techniques and monitoring procedures with regard to hemodialysis, which are discussed and evaluated. Attention is also paid to the new biomaterials available, concentrating on their improved biocompatibility and surface characteristics. As developments in the field of peritoneal dialysis have taken a similar turn, new devices providing access to the peritoneal cavity which have recently been made available are introduced next. Last but not least, the management of complications and the continuous maintenance and care of the access with regard to both hemodialysis and peritoneal dialysis are highlighted.This book provides a complete overview of the devices, catheters and methods currently available to ensure successful vascular and peritoneal access. Taking into account both the physiology of the extracorporeal circulation and the mechanisms of peritoneal dialysis with regard to the most adequate access techniques, this is a unique resource for clinicians, investigators and researchers in the field of renal replacement therapy.