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Hemodialysis International

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https://www.readbyqxmd.com/read/30239113/regional-anesthesia-with-epinephrine-containing-lidocaine-reduces-pericatheter-bleeding-after-tunneled-hemodialysis-catheter-placement
#1
Ilhan Nahit Mutlu, Burak Kocak, Melis Baykara Ulusan, Kivilcim Ulusan, Mehmet Semih Cakir, Ozgur Kilickesmez
INTRODUCTION: Pericatheter bleeding (PB) following tunneled hemodialysis catheter (THC) placement is a common phenomenon. In addition to complicating securement of the THC, the PB may loosen the adhesive catheter dressing and delay wound healing. The primary aim of this study was to determine whether epinephrine-containing local anesthetics rather than plain ones reduce superficial PB after THC placement. METHODS: The study was based on the retrospective analysis of the prospectively gathered data...
September 21, 2018: Hemodialysis International
https://www.readbyqxmd.com/read/30238590/investigation-of-small-intestinal-lesions-in-dialysis-patients-using-capsule-endoscopy
#2
Fumitaka Nakajima, Yoshiyuki Furumatsu, Takatomi Yurugi, Yoshifumi Amari, Takeshi Iida, Takayuki Fukui, Takanori Kuramoto
INTRODUCTION: Although gastrointestinal hemorrhage is an important complication for dialysis patients, the details of many points remain unclear with regard to small intestinal lesions. METHODS: Capsule endoscopy was performed in fecal occult blood-positive dialysis (n =16) and non-dialysis (n = 20) patients after upper and lower gastrointestinal endoscopies failed to reveal hemorrhagic lesions. FINDINGS: Erosive lesions were observed in 50...
September 20, 2018: Hemodialysis International
https://www.readbyqxmd.com/read/30141571/hepatitis-c-virus-infection-in-patients-with-end-stage-renal-disease
#3
REVIEW
John Wigneswaran, David Van Wyck, David Pegues, Pierre Gholam, Allen R Nissenson
Chronic hepatitis C virus (HCV) infection is a major global health problem affecting 3-5 million people in the United States and over 100 million worldwide. Chronic HCV infection, which can lead to cirrhosis and hepatocellular carcinoma, also results in numerous other complications, including impairment of renal function. Because HCV is most often transmitted via parenteral exposure to blood or blood products, patients with end-stage renal disease (ESRD) treated with hemodialysis are at particular risk for infection...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/30141570/consumption-of-phosphorus-containing-beverages-as-a-potential-aggravating-cause-of-mesoamerican-nephropathy
#4
LETTER
John T Daugirdas, John T Ball
No abstract text is available yet for this article.
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29790642/after-parathyroidectomy-difficult-short-term-medical-management-in-patients-with-end-stage-renal-disease
#5
LETTER
Guillaume Treiber, François Marchal, Estelle Nobecourt
No abstract text is available yet for this article.
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29517177/basilic-vein-transposition-for-unsuitable-upper-arm-hemodialysis-needle-access-segment-may-attenuate-concurrent-hand-ischemia
#6
Michael W M Gerrickens, Roel H D Vaes, Bastiaan Govaert, Joep A W Teijink, Marc R Scheltinga
INTRODUCTION: Some hemodialysis patients with a brachial arteriovenous fistula (AVF) have an unsuitable upper arm needle access segment (NAS) necessitating basilic vein transposition (BVT). It was frequently observed that a portion of these patients spontaneously experienced a warmer and less painful dialysis hand after BVT. Aim of this study was to determine whether BVT for an inadequate NAS attenuated hemodialysis access-induced distal ischemia in patients with a brachial AVF. METHODS: Patients with a brachial AVF and an unsuitable NAS also reporting hand ischemia and scheduled to undergo BVT between 2005 and 2016 in a single facility were studied...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29461016/postdialysis-recovery-time-is-extended-in-patients-with-greater-self-reported-depression-screening-questionnaire-scores
#7
Andrew Davenport, Ayman Guirguis, Michael Almond, Clara Day, Joseph Chilcot, Maria Da Silva Gane, Naomi Fineberg, Karin Friedl, Benjamin Spencer, David Wellsted, Ken Farrington
INTRODUCTION: Most patients take time to recover after a hemodialysis (HD) session. It has been suggested that recovery time is associated with intradialytic hypotension and rapid solute clearances. Other studies have reported a linkage to depression. We investigated the association between recovery time and intradialytic hypotension and depression. METHODS: In five UK HD units, we screened for depressive symptoms using the Beck depression inventory-II, Patient Health Questionnaire, and recorded sessional blood pressures and Kt/Vurea...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29461006/left-ventricular-geometric-patterns-in-end-stage-kidney-disease-determinants-and-course-over-time
#8
Menso J Nubé, Tiny Hoekstra, Volkan Doganer, Michiel L Bots, Peter J Blankestijn, Marinus van den Dorpel, Otto Kamp, Piet M Ter Wee, Camiel L M de Roij van Zuijdewijn, Muriel P C Grooteman
INTRODUCTION: While concentric left ventricular hypertrophy (cLVH) predominates in non-dialysis-dependent chronic kidney disease (CKD), eccentric left ventricular hypertrophy (eLVH) is most prevalent in dialysis-dependent CKD stage 5 (CKD5D). In these patients, the risk of sudden death is 5× higher than in individuals with cLVH. Currently, it is unknown which factors determine left ventricular (LV) geometry and how it changes over time in CKD5D. METHODS: Data from participants of the CONvective TRAnsport Study who underwent serial transthoracic echocardiography were used...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29446565/targeted-surgical-parathyroidectomy-in-end-stage-renal-disease-patients-and-long-term-metabolic-control-a-single-center-experience-in-the-current-era
#9
Tibor Fülöp, Christian A Koch, Abdeen R Farah Musa, Christopher M Clark, Kamel A Gharaibeh, Zsolt Lengvársky, Mehrdad Hamrahian, Karen T Pitman, Mehul P Dixit
BACKGROUND: The long-term results of surgical parathyroidectomy (PTX) in end-stage renal disease (ESRD) patients are less well known in the modern era of newer activated vitamin-D analogs, calcimimetics and intraoperative monitoring of parathyroid hormone (PTH). METHODS: We performed a retrospective chart review of all ESRD patients undergoing PTX at the University of Mississippi Medical Center between January 2005 and August 2011, with follow-up data as available up to 4 years...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29446212/free-dialysis-in-nepal-logistical-challenges-explored
#10
John Mcgee, Bimal Pandey, Abhishek Maskey, Tifany Frazer, Theodore Mackinney
Nepal's Ministry of Health began offering free lifetime hemodialysis (HD) in 2016. There has been a large growth in renal replacement therapy (RRT) services offered in Nepal since 2010, when the last known data on the subject was published. In 2016, 42 HD centers existed (223% increase since 2010) serving 1975 end stage renal disease patients (303% increase since 2010); 36 nephrologists were registered (200% increase since 2010), 12 were trained in transplantation, and 790 transplants had been performed to date...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29436152/immersion-enhanced-fluid-redistribution-can-prevent-intradialytic-hypotension-a-prospective-randomized-crossover-clinical-trial
#11
Keren Doenyas-Barak, Nedal Garra, Ilia Beberashvili, Shai Efrati
INTRODUCTION: Intradialytic hypotension (IDH) is an important cause of morbidity and mortality among hemodialysis patients. We used an immersion model to evaluate the role of reduced effective circulating volume, and to examine whether facilitated refilling can prevent IDH. METHODS: Ten male hemodialysis patients who had frequent episodes of IDH were randomized to a mid-week "wet" or "dry" hemodialysis session, and subsequently underwent the other session in a crossover manner...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29436151/antihypertensive-medication-withholding-practices-in-hemodialysis-a-survey-study-of-patients-and-providers
#12
LETTER
Sarah B Haase, Steven Chang, Brigitte Schiller, Glenn M Chertow, Tara I Chang
No abstract text is available yet for this article.
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29436096/nephrotic-syndrome-complicated-with-femoral-vein-catheter-related-phlegmasia-cerulea-dolens-a-case-report
#13
Wen-Chun Chen, Shuo-Ming Ou
Nephrotic syndrome is a well-known risk factor of deep vein thrombosis (DVT). Catheter-related DVT under the setting of nephrotic syndrome may be presented as a more fulminant form, phlegmasia cerulea dolens. Phlegmasia cerulea dolens may lead to severe obstruction of venous drainage of the extremities and presents with compartment syndrome that impairs arterial perfusion. Aggressive management with thrombolysis and/or thrombectomy are considered with simultaneous anticoagulant treatment.
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29380559/fixed-dose-combination-of-sofosbuvir-and-ledipasvir-in-the-treatment-of-hepatitis-c-infection-in-patients-on-hemodialysis-report-of-an-initial-experience
#14
LETTER
Sanjay Vikrant, Ajay Jaryal
No abstract text is available yet for this article.
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29380515/acute-hemodialysis-in-a-young-man-with-severe-symptomatic-hyponatremia-and-kidney-injury
#15
Catherine Courteau, Alex Al Khoury, Rene P Michel, Catherine L Weber
A 35-year-old man presented with severe hypo-osmolar hyponatremia (serum sodium 99 mmol/L), profound nonoliguric renal failure (serum creatinine 1240 μmol/L), and nephrotic range proteinuria. Computed tomography of the abdomen revealed nephromegaly and no obstruction. The patient was admitted to the intensive care unit (ICU) and conventional hemodialysis was initiated. To avoid rapid sodium correction, we prescribed concurrent dialysate flow, a low dialysate sodium concentration, a small surface area dialyzer, and a low blood flow rate...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29380499/removal-of-vancomycin-administered-during-dialysis-by-a-high-flux-dialyzer
#16
Heather A Nyman, Adhish Agarwal, Harry O Senekjian, John K Leypoldt, Alfred K Cheung
INTRODUCTION: Hemodialysis patients frequently receive vancomycin for treatment of gram-positive bacterial infections. This drug is most conveniently administered in outpatient dialysis units during the hemodialysis treatment. However, there is a paucity of data on the removal of vancomycin by high-flux polyamide dialyzers. METHODS: This is a prospective crossover study in which seven uninfected chronic hemodialysis patients at three dialysis units received vancomycin 1 gram intravenously over one hour immediately after the dialysis treatment (Phase 1), and vancomycin 1...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29360287/percutaneous-perfusion-monitoring-for-the-detection-of-hemodialysis-induced-cardiovascular-injury
#17
Jarrin D Penny, Claire Grant, Fabio Salerno, Anne Brumfield, Marcus Mianulli, Lori Poole, Christopher W Mcintyre
INTRODUCTION: The safe delivery of hemodialysis (HD) faces dual challenges; the accurate detection of systemic circulatory stress producing cardiovascular (CV) injury, and the ability to enable effective preemptive intervention for such injury. We performed a pilot study to examine the capability of a new noninvasive, real-time monitoring system to detect the deleterious effects of HD on CV stability. METHODS: Eight patients were evaluated with echocardiography prior to the initiation of HD and again at peak HD stress...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29360282/left-ventricular-assist-device-patient-maintained-on-home-hemodialysis-a-novel-class-of-patients-to-the-home-dialysis-population
#18
Ramy M Hanna, Daniel Cruz, Umut Selamet, Huma Hasnain, Murray Kwon, Arnold Baas, James Wilson
Severe heart failure is increasingly being managed by cardiac transplantation, and in some cases mechanical support devices serve as destination therapies. Left ventricular assist devices (LVADs) were approved for destination therapy for end stage heart failure patients before the more advanced total artificial heart modality became available. One common complication of mechanical assist device placement is acute kidney injury. Historically, patients with mechanical support devices have had to have inpatient hemodialysis until combined heart kidney transplant...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29360280/dialysis-disequilibrium-syndrome-leading-to-sudden-brain-death-in-a-chronic-hemodialysis-patient
#19
Tarun Dalia, Ahmad M Tuffaha
Dialysis disequilibrium syndrome (DDS) is a rare central nervous system (CNS) disease which develops in patients receiving hemodialysis (HD). Although it has been reported in patients receiving chronic HD, DDS is more common during or immediately after the first HD treatment. The exact incidence of DDS is unknown. Death in DDS is an extremely rare phenomenon and to the best of our knowledge only 9 cases have been reported showing this association. We present a unique case of a 42-year-old female on chronic HD, and no prior history of CNS disease, who developed brain death in the setting of DDS 2 hours into the dialysis treatment...
July 2018: Hemodialysis International
https://www.readbyqxmd.com/read/29227585/effect-of-ultrafiltration-on-placental-fetal-blood-flow-in-pregnancy-of-woman-undergoing-chronic-hemodialysis
#20
Luiz Paulo José Marques, Paulo Roberto Silva Marinho, Regina Rocco, Caroline de Azevedo Martins, Henrique Novo Costa Pereira, Ana Clara Lopes Barbosa Ferreira
INTRODUCTION: Patient who was undergoing hemodialysis (HD) thrice weekly usually gain 1 to 4 kg of weight in interdialytic period, mainly due to fluid accumulation by ingestion of water. Ultrafiltration (UF) during HD will be need to remove fluid excess to avoid severe medical complications secondary to fluid overload. However, in pregnant woman UF can increase the episodes of intradialytic hypotension which may lead to placental ischemic injury and predispose to fetal distress. There is little information about safe fluid amount withdrawn by UF during pregnancy...
July 2018: Hemodialysis International
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