Recalibrating Vascular Access for Elderly Patients
نویسندگان
چکیده
منابع مشابه
Outcomes of Elderly Patients after Predialysis Vascular Access Creation.
Uniform vascular access guidelines for elderly patients may be inappropriate because of the competing risk of death, high rate of arteriovenous fistula (AVF) maturation failure, and poor vascular access outcomes in this population. However, the outcomes in elderly patients with advanced CKD who receive permanent vascular access before dialysis initiation are unclear. We identified a large natio...
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Over a seven year period from 1982 to 1989,3337 conduits were created in 3137 patients with end stage renal disease (ESRD) as access for chronic dialysis. These included 2690 side-to-side arteriovenous fistulae (A VF), 168 end-to-side A VFs, 10 autogenous vein grafts, 51 homogenous frozen vein grafts, 109 polytetrafluoroethylene (PTFE) grafts, 209 emergency external arteriovenous shunts, t...
متن کاملChapter 21: Vascular Access for Hemodialysis in the Elderly
All types of hemodialysis access are potentially problematic in elderly persons. Fistulas or grafts can be difficult to initiate because of atherosclerosis and prior vascular damage and additionally pose a risk of causing distal ischemia. In patients with heart failure, the extra cardiac load of an arteriovenous shunt might raise concern. Last, in some cases, the maturity time for a fistula may...
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The increasing incidence and prevalence of elderly endstage renal disease (ESRD) patients is an emerging Subjects and methods problem for nephrologists in charge of renal replacement therapy (RRT ). Co-morbid conditions (e.g. TCath vascular access option cardiovascular diseases, malnutrition, diabetes mellitus) frequently associated with ageing is an additional In our department, TCath was esta...
متن کاملIntraosseous vascular access for alert patients:.
Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both...
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ژورنال
عنوان ژورنال: Clinical Journal of the American Society of Nephrology
سال: 2014
ISSN: 1555-9041,1555-905X
DOI: 10.2215/cjn.01560214