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https://www.readbyqxmd.com/read/28114140/peritoneal-dialysis-treatment-modality-option-in-acute-kidney-injury
#1
Daniela Ponce, Mariele Gobo-Oliveira, Andre Luís Balbi
BACKGROUND: Peritoneal dialysis (PD) may be a feasible and safe alternative to haemodialysis not only in the chronic but also in the acute setting. It was previously widely accepted as a modality for acute kidney injury (AKI) treatment, but its practice declined in favor of other types of extracorporeal therapies. SUMMARY: The interest in PD to manage AKI patients has been increased and PD is now frequently used in developing countries because of its lower cost and minimal infrastructural requirements...
January 24, 2017: Blood Purification
https://www.readbyqxmd.com/read/28058703/fatal-outcome-of-haemodialysis-catheter-malposition-into-the-hepatic-vein-causing-budd-chiari-syndrome
#2
Mohammad Ali Husainy, Rajdeep Chhina, Riad Alchanan, Praveen Peddu
No abstract text is available yet for this article.
January 2, 2017: Journal of Vascular Access
https://www.readbyqxmd.com/read/27913268/haemodialysis-catheters-in-the-intensive-care-unit
#3
Laetitia Huriaux, Paul Costille, Hervé Quintard, Didier Journois, John A Kellum, Thomas Rimmelé
No abstract text is available yet for this article.
November 29, 2016: Anaesthesia, Critical Care & Pain Medicine
https://www.readbyqxmd.com/read/27884849/access-hd-pilot-a-randomised-feasibility-trial-comparing-catheters-with-fistulas-in-elderly-patients-starting-haemodialysis
#4
Robert Quinn, Pietro Ravani
INTRODUCTION: The selection of the type of vascular access for haemodialysis is an important intervention question. However, only observational studies are available to inform decision-making in this area, and they are at high risk of selection bias. While a clinical trial comparing the effects of the 2 most frequently chosen strategies for haemodialysis access (fistulas and catheters) on patient important and 'hard' clinical end points is needed, the feasibility of such a trial is uncertain...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27843545/ochromobactrum-intermedium-an-emerging-opportunistic-pathogen-case-of-recurrent-bacteraemia-associated-with-infective-endocarditis-in-a-haemodialysis-patient
#5
T Bharucha, D Sharma, H Sharma, H Kandil, S Collier
We describe the first clinical case report of infective endocarditis related to Ochrobactrum intermedium infection. The case involved a 23-year-old man receiving dialysis via an internal jugular long-term haemodialysis catheter. He improved with a prolonged course of meropenem and minocycline. Ochrobactrum spp. are recognized as rare emerging opportunistic pathogens.
January 2017: New Microbes and New Infections
https://www.readbyqxmd.com/read/27834456/over-catheter-tract-suture-to-prevent-bleeding-and-air-embolism-after-tunnelled-catheter-removal
#6
Krzysztof Letachowicz, Tomasz Gołębiowski, Mariusz Kusztal, Jan Penar, Waldemar Letachowicz, Wacław Weyde, Marian Klinger
INTRODUCTION: Severe, life-threating, complications might occur on dialysis catheter removal. METHODS: We present a useful technique that may prevent vascular air embolism and severe bleeding. RESULTS: The suture is placed around the catheter and tied over previous tract just after device removal. CONCLUSIONS: Applying a compressing suture to the tract left after removal of a tunnelled haemodialysis catheter is a simple manoeuvre that could prevent severe complication...
November 8, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27734108/complications-of-intravascular-catheters-in-icu-definitions-incidence-and-severity-a-randomized-controlled-trial-comparing-usual-transparent-dressings-versus-new-generation-dressings-the-advanced-study
#7
Silvia Calviño Günther, Carole Schwebel, Rebecca Hamidfar-Roy, Agnès Bonadona, Maxime Lugosi, Claire Ara-Somohano, Clémence Minet, Leïla Potton, Jean-Charles Cartier, Aurelien Vésin, Magalie Chautemps, Lenka Styfalova, Stephane Ruckly, Jean-François Timsit
PURPOSE: To describe all post-insertion complications involving most used intravascular access, and to determine whether the use of a new-generation transparent dressing (3M™ IV Advanced) might reduce their number and impact on ICU patient outcomes. METHODS: Patients older than 18, with an expected length of stay ≥48 h and requiring at least one central venous catheter (CVC), arterial catheter (AC), haemodialysis catheter (HDC), pulmonary arterial catheters (PAC) or peripheral venous catheter (PVC) were randomized into two groups: a new-generation transparent dressing, or the hospital's classical transparent dressing, and were followed daily for any infectious and non-infectious complications...
November 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27684071/arterio-venous-fistula-is-it-critical-for-prolonged-survival-in-the-over-80-s-starting-haemodialysis
#8
Adam D Jakes, Poonam Jani, Victoria Allgar, Archie Lamplugh, Ahmed Zeidan, Sunil Bhandari
BACKGROUND: Dialysis in elderly patients (>80-years-old) carries a poor prognosis, but little is known about the most effective vascular access method in this age group. An arteriovenous fistula (AVF) is both time-consuming and initially expensive, requiring surgical insertion. A central venous catheter (CVC) is initially a cheaper alternative, but carries a higher risk of infection. We examined whether vascular access affected 1-year and 2-year mortality in elderly patients commencing haemodialysis...
2016: PloS One
https://www.readbyqxmd.com/read/27643628/downhill-varices-an-uncommon-cause-of-upper-gastrointestinal-bleeding
#9
Guillermo Ontanilla Clavijo, Claudio Trigo Salado, Norberto Rojas Mercedes, Juan Antonio Caballero Gómez, Adalberto Rincón Gatica, Juan Manuel Alcívar-Vasquez, José Luis Márquez Galán
BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a common condition in gastroenterology, but "Downhill Varices" (DHV) or varices of the upper oesophagus are an uncommon cause of UGIB, with different aetiology from lower third oesophageal varices and different therapeutic implications. CASE REPORT: A 28-year-old male patient, with a history of chronic kidney failure secondary undergoing haemodialysis and superior vena cava syndrome (SCVS) due to multiple catheter replacements, was admitted to the Emergency Department with haematemesis secondary to a varicose vein rupture in the proximal third of oesophagus, treated initially with ethanolamine...
July 2016: Revista Española de Enfermedades Digestivas
https://www.readbyqxmd.com/read/27630891/a-rare-case-of-fatal-endocarditis-and-sepsis-caused-by-pseudomonas-aeruginosa-in-a-patient-with-chronic-renal-failure
#10
Manav Aggarwal, Vikrant Vijan, Anjith Vupputuri, Sandya Nandakumar, Navin Mathew
Nosocomial catheter-related and Arteriovenous fistula (AV)-related infections are significant concern in patients undergoing haemodialysis. These infections are associated with multiple complications as well as mortality and demands immediate and appropriate management. While coagulase-negative staphylococci, S.aureus, and Escherichia coli are the most common causes of catheter-related infections in haemodialysis patients, such infections caused by Pseudomonas aeruginosa are relatively rare. Here, we present an unusual case of 36-year-old male patient with chronic renal failure, who developed endocarditis and sepsis from Pseudomonas aeruginosa infection of the left hand arteriovenous fistula...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27630890/all-that-glitters-is-not-gold-all-unilateral-oedema-is-not-dvt
#11
Ashwal Adamane Jayaram, Padmakumar Ramachandran, Tom Devasiya, Abdul Razak Uddina Kumeri, Umesh Pai
Innominate vein stenosis or thrombotic occlusion can occur in dialysis patients. Central vein stenosis is a common problem in patients on dialysis. Placement of a central vein catheter for dialysis access increases the risk of central vein stenosis. Central vein stenosis sometimes can jeopardize the arteriovenous fistula and arteriovenous graft in the ipsilateral extremity unless recognized early and treated. We describe three patients with left innominate vein stenosis who were known case of chronic kidney disease on haemodialysis and had a left brachio-cephalic fistula and presented with unilateral facial and upper limb oedema...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27630843/microbiology-of-non-tunnelled-catheter-related-infections
#12
Shefali Gupta, Shrikara P Mallya, Ashok Bhat, Shrikala Baliga
INTRODUCTION: Aerobic bacterial infections often complicate vascular access in patients receiving haemodialysis, leading to Catheter-Related Blood Stream Infections (CRBSI). Various studies report Gram - positive bacteria, Staphylococcus aureus (S. aureus) in particular, as the most common aetiologic agent. Studies on microbiological analysis in this subset of population from India are very few. AIM: To examine clinical and bacteriological profiles of haemodialysis patients developing CRBSI, the antibiotic susceptibility of the bacteria isolated from these patients and determine nasal carriage of S...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27595511/serratia-marcescens-bacteraemia-outbreak-in-haemodialysis-patients-with-tunnelled-catheters-due-to-colonisation-of-antiseptic-solution-experience-at-4-hospitals
#13
José L Merino, Hanane Bouarich, Mª José Pita, Patricia Martínez, Blanca Bueno, Silvia Caldés, Elena Corchete, Mª Teresa Jaldo, Beatriz Espejo, Vicente Paraíso
INTRODUCTION: The application of antiseptic solution for handling tunnelled catheters is recommended in patients undergoing haemodialysis. These routine antiseptic procedures in handling catheters are crucial to avoid complications. We report an outbreak of Serratia marcescens (S. marcescens) bacteraemia in numerous haemodialysis units of the Community of Madrid. MATERIAL AND METHODS: The first cases of bacteraemia due to S. marcescens were isolated in December 2014...
November 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/27588751/from-zero-to-hero-saving-lives-one-hero-at-a-time
#14
Dr Charlotte Ratcliff, Miss Monica Hansrani
INTRODUCTION: This case report intends to highlight the Haemodialysis Reliable Outflow (HeRO) graft as a potential long term option for ongoing dialysis in patients with central venous stenosis. PRESENTATION OF CASE: A 55year old patient, who developed end stage renal failure (ESRF) after chemotherapy treatment for breast cancer, presented at the limit of her dialysis access after a 15year haemodialysis history causing central vein stenosis. The patient was initially started on peritoneal dialysis but after repeated peritonitis was switched to haemodialysis...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27346973/pseudohypernatremia-secondary-to-trisodium-citrate-citra-locktm
#15
Janice Milliere, Daryl Corriveau, Malvinder S Parmar
INTRODUCTION: Hypernatremia is common among hospitalized patients especially in the intensive care units and presents an independent risk factor for mortality. Mild hypernatremia is often asymptomatic but severe hypernatremia causes central nervous system dysfunction with initial non-specific symptoms of encephalopathy that may progress to seizures, coma and death, if left untreated. Severe hypernatremia is a medical emergency and requires emergent medical attention. MATERIALS AND METHODS: A haemodialysis patient who arrived for his scheduled haemodialysis treatment had monthly blood work drawn and was reported to have severe hypernatremia with serum sodium concentration of 183 mmol/L...
2016: Biochemia Medica: časopis Hrvatskoga Društva Medicinskih Biokemičara
https://www.readbyqxmd.com/read/27334533/infective-endocarditis-in-patients-on-haemodialysis-possible-strategies-for-prevention
#16
Hadi A Oun, Andrew J Price, Jamie P Traynor
BACKGROUND AND AIMS: Infective endocarditis is an important cause of morbidity and mortality in patients receiving haemodialysis for established renal failure. We carried out a prospective audit of patients developing infective endocarditis in a single renal unit. METHODS AND RESULTS: From 1 January 2000 to 31 December 2013, we collected data on all cases of endocarditis occurring in patients receiving haemodialysis at Monklands Hospital, Airdrie. Twenty-nine patients developed endocarditis during our audit period...
May 2016: Scottish Medical Journal
https://www.readbyqxmd.com/read/27326946/fever-with-intradialytic-pelvic-pain-a-case-of-iliopsoas-abscess-complicated-with-methicillin-sensitive-staphylococcus-aureus-bacteraemia-in-an-end-stage-renal-failure-patient
#17
M T Alif Adlan, W A K Wan Mohd Rasis, M D Mohd Ramadhan
Staphylococcus Aureus is a Gram-positive cocci bacteria which had been found to be the causative organism in over 88% of patients with primary iliopsoas abscess. We report the case of a 53-year-old diabetic woman with end-stage renal failure diagnosed with left iliopsoas abscess with a catheter-related infection. Computed tomogram (CT) of abdomen and pelvis revealed hypodense lesions of left psoas, iliacus and quadratus lumborum suggestive of psoas abscesses. In addition, osteomyelitis changes at left sacroiliac and hip joint were seen...
April 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27267915/prevalence-of-patients-receiving-renal-replacement-therapy-in-el-salvador-in-2014
#18
Ramón García-Trabanino, Zulma Trujillo, Ana Verónica Colorado, Salvador Magaña Mercado, Carlos Atilio Henríquez
: El Salvador has the highest renal failure mortality rate in the Americas. Five healthcare providers offer renal replacement therapy (RRT) in the country. The national RRT prevalence has never been reported. AIMS: To determine the RRT prevalence in El Salvador and some basic characteristics. METHODS: The association of nephrology coordinated a nationwide cross-sectional survey during the third quarter of 2014. 31 renal centres participated in the survey, covering 99...
November 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/27250355/recanalisation-and-balloon-oriented-puncture-for-re-insertion-of-dialysis-catheter-in-nonpatent-central-veins-reborn
#19
Chow Wei Too, Raza Sayani, Elvin Yuan Ting Lim, Sum Leong, Apoorva Gogna, Terence K Teo
PURPOSE: To describe a technique involving REcanalisation and Balloon-Oriented puncture for Re-insertion of dialysis catheter in Nonpatent central veins (REBORN) and to report long-term results. MATERIALS AND METHODS: This is a retrospective study of ten subjects in whom dialysis catheters were inserted using the REBORN technique from March 2012 to October 2014 and followed up till April 2016. Data on the duration of catheter usage, complications and reasons for removal were obtained...
August 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27249387/the-tunneled-catheter-for-haemodialysis-about-52-cases
#20
Badreddine Ben Kaab, Rania Kheder, Héla Jbali, Wided Smaoui, Madiha Krid, Lamia Raies, Lilia Ben Fatma, Souméya Béji, Med Karim Zouaghi, Fatma Ben Moussa
BACKGROUND: Vascular access is a basic and essential tool required for performing renal replacement therapy in end stage renal disease. AIM: To study the indications of tunneled catheter (KTT) in hemodialysis (HD), identify complications related to the use of KTT and contributing factors, assess the survival and performance of the technique. INTRODUCTION: The making of a vascular access is an angular piece for adequate HD and in good conditions...
December 2015: La Tunisie Médicale
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