Vascular access: care and monitoring

Vascular access: care and monitoring of function.

Vascular access blood flow monitoring reduces access morbidity and costs.

BACKGROUND Vascular access morbidity results in suboptimal patient outcomes and costs more than $8000 per patient-year at risk, representing approximately 15% of total Medicare expenditures for ESRD patients annually. In recent years, the rate of access thrombosis has improved following the advent of vascular access blood flow monitoring (VABFM) programs to identify and treat stenosis prior to ...

THE EFFECT OF EVIDENCE-BASED EDUCATION ON THE KNOWLEDGE OF NURSING STUDENTS IN THE CARE OF HEMODIALYSIS VASCULAR ACCESS

Background & Aim: One of the basic and important needs of hemodialysis patients is vascular access. Nursing students as members of the health team and future nurses, play an essential role in the safety management of hemodialysis patients and therefore, their training is important to support patient safety. Today, evidence-based education with the objective of explicit and rational use of the b...

VASCULAR ACCESS FOR HEMODIALYSIS: OUR EXPERIENCE WITH 3337 CASES

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...

Impact of a quality improvement programme based on vascular access flow monitoring on costs, access occlusion and access failure.

BACKGROUND Vascular access thrombosis is a substantial source of morbidity in chronic haemodialysis patients. Periodical access flow measurements can predict the presence of vascular access stenosis and provide an opportunity for early intervention to prevent subsequent vascular access thrombosis. By this system of quality improvement, vascular access-related costs might be reduced. The aim of ...