INTRODUCTION Based on the statistics the population in Bosnia and Herzegovina is getting older. In 2013 the average life span for women was 73.6 years and 68.1 for men. The chronic hemodialysis program is mainly reserved for elderly patients with high mortality risk. The most common cause of hemodialysis mortality relates to cardiovascular diseases (60.2%), regardless of frequent innovations an...

Mortality and morbidity are significantly higher among patients with dialysis catheters, which has been associated with chronic activation of the immune system. We hypothesized that bacteria colonizing the catheter lumen trigger an inflammatory response. We aimed to evaluate the inflammatory profile of hemodialysis patients before and after locking catheters with an antimicrobial lock solution....

The Fistula First Initiative has strongly encouraged nephrologists, vascular access surgeons, and dialysis units in the United States to make valiant efforts to increase fistula use in the hemodialysis population. Unfortunately, the rigid "fistula first" recommendations are not based on solid, current, evidence-based data and may be harmful to some hemodialysis patients by subjecting them to pr...

BACKGROUND Incident hemodialysis patients have the highest mortality in the first several months after starting dialysis treatments. We hypothesized that the patterns and risk factors associated with this early mortality differ from those in later dialysis therapy periods. METHODS We examined mortality patterns and predictors during the first several months of hemodialysis treatment in 18,707...

A working vascular access is essential for performing continuous renal replacement therapy (CRRT) efficiently and without interruption. Dual-lumen temporary hemodialysis catheters are the catheters of choice, although tunneled catheters can also be utilized if therapy is expected to be prolonged. Hemodialysis catheters have to be inserted under ultrasound guidance by trained personnel, using as...

Background: Hemodialysis patients with end-stage renal illness use a tunnelled central vein catheter for vascular access. Heparin preservative, in contrast, exhibits inferior antibacterial effects against biofilm and plank tonic bacteria. Aim: To evaluate the effectiveness of taurolidine citrate solution versus heparin lock when infused into lumens hemodialysis illness. Study design: Randomized...

OBJECTIVE Femoral catheters pose a potential barrier to early rehabilitation in the intensive care unit (ICU) due to concerns, such as catheter removal, local trauma, bleeding, and infection. We prospectively evaluated the feasibility and safety of physical therapy (PT) in ICU patients with femoral catheters. DESIGN, SETTING, AND PATIENTS We evaluated consecutive medical ICU patients who rece...

Abstract Background and Aims In hemodialysis, intravenous catheter is the most frequent vascular access to begin treatment in patients with chronic kidney disease. Infectious complications are a adverse effect of access, they may cause retreat serious diseases like septic shock, bacterial endocarditis, arthritis, venous thromboembolism death (between 5 10%). Leading microorganisms hemodialysis ...