Management of vascular access surgical wound

Integrated vascular access management.

Nephrologists need to deal with the problem of vascular access management in the same manner as the other major problems that affect our dialysis patients. We need to become experts in vascular access and we need to occupy a pivotal position in directing the decisions that are made that affect dialysis patient welfare. An integrated vascular access management strategy is required. Optimally, th...

Larval debridement therapy: vascular wound management

Antibiotic management of infected vascular access.

Sir, We would like to make the following comments on the recently published article by Peleman et al. w1x in Nephrology Dialysis Transplantation. First, the authors did not make a distinction between care of ambulatory patients and those who were hospitalized. Second, they did not make a distinction between patients with or patients without particular risk factors for infection w2x. In our opin...

Surgical management of axillosubclavian vascular injuries

OBJECTIVE Complex surgical exposures to upper extremity injuries required for conventional surgery correlate with a high morbidity and mortality. We present our results with conventional surgery following injuries of the subclavian and axillary vessels. METHODS Between November 2007 and March 2012, 29 cases with subclavian-axillary vascular injury were operated. Diagnostic and treatment metho...

Crisis management during anaesthesia: vascular access problems.

BACKGROUND In confronting an evolving crisis, the anaesthetist should consider the vascular catheter as a potential cause, abandoning assumptions that the device has been satisfactorily placed and is functioning correctly. OBJECTIVES To examine the role of a previously described core algorithm "COVER ABCD-A SWIFT CHECK", supplemented by a specific sub-algorithm for vascular access problems, i...