Dialysis Access : Current Practice.
Title:
Dialysis Access : Current Practice.
Author:
Akoh, J. A.
ISBN:
9781848161726
Personal Author:
Physical Description:
1 online resource (416 pages)
Contents:
CONTENTS -- Foreword -- List of Contributors -- 1. Dialysis Access: Past Present and Future -- 1.1. Introduction -- 1.2. Historical Milestones -- 1.3. Access Morbidity -- 1.4. 2000 and Beyond -- 1.5. Conclusion -- References -- 2. Modality Selection and Patient Outcome -- 2.1. Introduction -- 2.2. Treatment Modalities in End-Stage Renal Failure -- 2.3. Pattern of Dialysis Provision -- 2.4. Outcomes of Dialysis -- 2.5. Planning for End Stage -- 2.6. Initiation of Dialysis -- References -- 3. Continuous Quality Improvement Through Clinical Pathways -- 3.1. Introduction -- 3.2. Continuous Quality Improvement -- 3.3. Application of the Plan-Do-Check-Act (PDCA) Model of CQI with Clinical Pathway Development -- 3.4. Clinical Pathways for Vascular Access Devices -- References -- Further Reading -- 4. The Access Clinic -- 4.1. Introduction -- 4.2. Role of the Access Clinic -- 4.3. Pre-operative Clinical Evaluation -- 4.4. Selection of Permanent Vascular Access -- 4.5. Preservation of Vein for Access -- 4.6. Subsequent Visits to the Access Clinic -- 4.7. Complications Seen at the Access Clinic -- 4.8. Special Problems -- 4.9. Patient Education -- 4.10. Communication -- References -- 5. Recirculation and Dialysis Access -- 5.1. Introduction -- 5.2. Recirculation in the Arteriovenous Access -- 5.3. Recirculation in the Central Venous Catheter Access -- 5.4. Cardiopulmonary Recirculation -- 5.5. Combined Cardiopulmonary and Access Recirculation -- 5.6. Verification of the Recirculation Theory -- 5.7. Determination of the Access Flow Rate (Method of Line Reversal) -- 5.8. Summary of the Recirculation Expressions -- 5.9. The Influence of Recirculation on Dialysis Efficiency -- 5.10. Urea-Based Methods for Determination of Recirculation -- 5.11. Automated Methods for Measurement of Recirculation.
5.12. Summary of Methods for Recirculation and Access Flow Monitoring -- 5.13. Practical Application of Recirculation Methods -- 5.14. Summary -- Acknowledgements -- References -- 6. The Value of Ultrasonic Imaging in Defining the Anatomy for Vascular Access -- 6.1. General -- 6.2. Grey-Scale Image Characteristics of Normal Veins -- 6.3. Doppler Flow Characteristics of Normal Veins -- 6.4. Use of Duplex Ultrasound and Colour Doppler with Regard to Vascular Access -- 6.5. Duplex Ultrasound in Arteriovenous Fistulas and Grafts -- 6.6. Indications for Ultrasound in AV Fistula Surgery -- 6.7. Anatomy of the Venous System Used in Vascular Access -- 6.8. Technique of Ultrasound Examination -- Acknowledgement -- References -- 7. Anaesthetic Management -- 7.1. General Principles of Anaesthesia for Dialysis Access -- 7.2. Chronic Renal Failure - Associated Diseases -- 7.3. The Effect of Renal Failure on Anaesthetic Drugs -- 7.4. Anaesthetic Management -- 7.5. Post-Operative Management -- 7.6. Conclusion -- Acknowledgement -- Further Reading -- 8. Arteriovenous Fistulas -- 8.1. General Technique Considerations -- 8.2. Technique for Radial-Cephalic Fistula -- 8.3. Alternative Sites for AVF -- 8.4. Transposed Basilic Vein AVF (TBAVF) -- 8.5. Stapling in Vascular Access Surgery -- 8.6. Post-Operative Care After AVF Construction -- 8.7. Conclusion -- References -- 9. Use of Autogenous Vein or Synthetic Grafts -- 9.1. Indications/Sites/Patency Rates -- 9.2. Results and Complications of Access Grafts in the Lower Extremity -- 9.3. Neointimal Hyperplasia -- 9.4. Preventing Stenosis at the Graft-Vein Anastomosis -- 9.5. Requirements for a Successful Graft -- References -- 10. Complications of Vascular Access -- 10.1. Introduction -- 10.2. Patency Results -- 10.3. Wound Complications.
10.4. Complications of the Access Conduit -- 10.5. Haemodynamic Complications -- 10.6. Functioning but Unusable Access -- 10.7. Summary -- References -- 11. Revision Access Surgery -- 11.1. Clinical Problems Within the Haemodialysis Unit -- 11.2. Duplex Scanning -- 11.3. The Brescia-Cimino (Wrist Fistula) -- 11.4. Antecubital Fossa Fistula -- 11.5. Angioplasty -- 11.6. Aneurysm Formation -- 11.7. Diabetes and Microvascular Disease -- 11.8. Revision of Synthetic Vascular Access -- 11.9. Summary -- References -- 12. Central Venous Catheters -- 12.1. Introduction -- 12.2. Types of CVC -- 12.3. Insertion Sites -- 12.4. Technique of Insertion -- 12.5. Who Should Insert Them? -- 12.6. Role -- 12.7. Complications -- 12.8. Catheter Removal -- 12.9. Long-Term Results -- 12.10. Exciting Developments -- 12.11. The Ideal Haemodialysis Catheter -- 12.12. Conclusion -- References -- 13. Access for Paediatric Patients -- 13.1. Investigations and Preparation -- 13.2. Indications -- 13.3. Vascular Access Devices -- 13.4. Short-Term Vascular Access -- 13.5. Long-Term Vascular Access Devices -- 13.6. Complications -- 13.7. Peritoneal Dialysis -- 13.8. The Role of Nursing Staff in the Management of Vascular Access -- 13.9. The Role of the Radiologist -- References -- 14. Radiology of Access -- 14.1. Pre-Operative Venography -- 14.2. Fistulography -- 14.3. Magnetic Resonance Angiography (MRA) -- 14.4. Ultrasound -- 14.5. Management of Complications -- 14.6. Management of Malfunctioning Peritoneal Dialysis Catheters -- 14.7. Difficult Access -- References -- 15. Peritoneal Dialysis Access -- 15.1. Introduction -- 15.2. Peritoneal Dialysis Catheters -- 15.3. Insertion of Peritoneal Dialysis Catheters -- 15.4. Complications -- 15.5. Removal of Peritoneal Dialysis Catheters -- References.
16. Nursing Care of Patients with Dialysis Access -- 16.1. Arteriovenous Fistulae -- 16.2. Vascular Access Catheters -- 16.3. Peritoneal Dialysis Catheters -- Acknowledgement -- References -- Index.
Abstract:
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.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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