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
This book is an evidence-based review of the practical challenges of dealing with patients receiving dialysis. The first section covers technical and procedural considerations such as choosing the hemodialysis membrane and choosing the best dialysis option. The second section covers clinical considerations such as infection and the treatment of specific renal disease complications. The book includes numerous illustrations and tables and drug charts for dialysis patients. This edition's current outcomes chapter has been expanded to include patient depression and improving quality of care. New chapters cover dialysis in the ICU, valvular heart disease, and pre-emptive renal transplantation.
Intravenous Therapy in Nursing Practice provides a comprehensive guide to the management of intravenous therapy in nursing, and explores all aspects of intravenous therapy in both hospital and community settings. It addresses core clinical skills, including the preparation and administration of intravenous drugs, peripheral venous access, acute and long term central venous access, and paediatric intravenous therapy. The book also explores relevant anatomy and physiology, fluid and electrolyte balance, pharmacological aspects and legal and ethical issues, in order to equip nurses with the skills and knowledge needed in order to provide safe and effective care. • Addresses key specialist skills, including blood transfusion, parenteral nutrition and safe administration of cytotoxic drugs • A definitive text for nurses working in the hospital and the community • Contains contributions from leading nurse practitioners Intravenous Therapy in Nursing Practice is an essential resource for nurses and health professionals working in intravenous therapy.
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.
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. Contents: Dialysis Access: Past, Present and Future (J A Akoh)Modality Selection and Patient Outcome (K Farrington)Continuous Quality Improvement Through Clinical Pathways (K L Brayman & P Wallace)The Access Clinic (D M Manas)Recirculation and Dialysis Access (P W Chamney)The Value of Ultrasonic Imaging in Defining the Anatomy for Vascular Access (A Eltayar et al.)Anaesthetic Management (P Korsah & N Pace)Arteriovenous Fistulas (N S Hakim)Use of Autogenous Vein or Synthetic Grafts (A G Hakaim & W A Oldenburg)Complications of Vascular Access (K M Rigg)Revision Access Surgery (P A Lear)Central Venous Catheters (J A Akoh)Access for Paediatric Patients (O N Fernando)Radiology of Access (A Al-Kutoubi)Peritoneal Dialysis Access (M A Akyol)Nursing Care of Patients with Dialysis Access (J Emery). Readership: Transplant surgeons, vascular surgeons, nephrologists, trainees and nurses. Keywords:Modality;Dialysis;Patient;Renal;Pathways;Transplantation;Vascular;Ultrasonic;Access;Catheters;History;Pediatric;Anaesthesia;Radiology;SurgeryReviews:“It is a worthy addition to any renal unit library and would serve as a very valuable reference for those who participate in the education and training of new staff. While the focus is dialysis access, there is sufficient related information to allow the book to stand alone as an independent reference.”Communique, Renal Society of Australasia
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.
Winner of a COMMENDED AWARD in the Urology category of the 2008 BMA Medical Book Competition. Following on from the huge success of the first edition, this is the second edition which will not only update all previous chapters but also, it will have many additional chapters to add value over and above the first edition. The need for dialysis access surgery is growing rapidly as the population of patients with endstage renal failure expands. This book is aimed at those healthcare professionals involved in the care of patients undergoing dialysis. Vascular Access Simplified gives a comprehensive review of all aspects of adult dialysis access with a specific emphasis on haemodialysis. The text highlights some of the difference in practices of physicians in Europe and the USA. The contributors are allied professionals, physicians, radiologists, vascular and transplant surgeons who have a specific interest and are all committed to improving the quality of dialysis access.
Publisher: Karger Medical and Scientific Publishers
ISBN: 9783805576512
Category: Medical
Page: 472
View: 904
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.
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.
Organized for easy reference, this comprehensive, concise, and clinically focused text covers all aspects of emergency medicine. Chapters follow a consistent, structured format—clinical presentation, differential diagnosis, evaluation, management, and disposition with highlighted critical interventions and common pitfalls. In this edition, the Pain and Pain Management section is now at the front of the book, since a large percentage of emergency department patients present with pain-related complaints. The Trauma section now follows the High-Risk Chief Complaint section. A new two-color design will help readers find critical elements of each chapter easily. A companion Website will include the fully searchable text, more than 400 self-assessment questions with answers, and additional images and tables.
