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Hemodialysis guide

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https://www.readbyqxmd.com/read/27911460/retrospective-comparison-of-two-different-approaches-for-ultrasound-guided-internal-jugular-vein-cannulation-in-hemodialysis-patients
#1
Antonio Treglia, Dario Musone, Francesco Amoroso
BACKGROUND: Prevalent hemodialysis patients with vascular access consisting of a central venous catheter (CVC) are continuously increasing over the years. Improvement in evolution and CVC placement procedures represents therefore an essential tool to enhance performance and reduce intraoperative and long-term CVC complications. Internal jugular vein (IJV) catheterization techniques are different according to ultrasound probe position in relation to vein axis and to needle direction in relation to ultrasound beam...
December 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886366/utility-of-blind-percutaneous-jugular-venous-cannulation-in-resource-limited-settings
#2
Opeyemi Komolafe, Olalekan Olatise
BACKGROUND: For the nephrologist practicing in resource-limited settings, vascular ultrasound is often unavailable; consequently, blind percutaneous puncture of large veins is often employed to establish vascular access for hemodialysis. METHODS: To examine the efficacy and safety of this approach we evaluated 53 consecutive patients in whom central vascular access was required. The vascular access route utilized was primarily the right internal jugular vein. In the majority of cases, the indication for central vascular access was hemodialysis...
November 14, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27886364/ultrasound-guided-angioplasty-for-treatment-of-peripheral-stenosis-of-arteriovenous-fistula-a-single-center-experience
#3
Sunil Kumar, Nikhil Mahajan, Shivakumar S Patil, Navdeep Singh, Soham Dasgupta, Seetharam Tejavath, Sarbpreet Singh, Deepesh B Kenwar, Ashish Sharma, Mukut Minz
PURPOSE: In patients with end-stage renal disease, arteriovenous fistulas (AVFs) are the access of choice for hemodialysis but are often complicated by stenosis. We present single-center experience of 78 ultrasound-guided angioplasty procedures for treating peripheral stenoses of AVFs. METHODS: Between January 2013 and November 2015, 78 angioplasties were performed under ultrasound guidance in 53 patients with end-stage renal disease who were referred from dialysis centers with low flow rate, difficult cannulation, increased cannulation site bleeding, immature or thrombosed AVF...
November 22, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27847651/ethylene-glycol-poisoning-an-unusual-cause-of-altered-mental-status-and-the-lessons-learned-from-management-of-the-disease-in-the-acute-setting
#4
R Singh, E Arain, A Buth, J Kado, A Soubani, N Imran
Ethylene glycol is found in many household products and is a common toxic ingestion. Acute ingestions present with altered sensorium and an osmolal gap. The true toxicity of ethylene glycol is mediated by its metabolites, which are responsible for the increased anion gap metabolic acidosis, renal tubular damage, and crystalluria seen later in ingestions. Early intervention is key; however, diagnosis is often delayed, especially in elderly patients presenting with altered mental status. There are several laboratory tests which can be exploited for the diagnosis, quantification of ingestion, and monitoring of treatment, including the lactate and osmolal gaps...
2016: Case Reports in Critical Care
https://www.readbyqxmd.com/read/27798201/selection-of-peritoneal-dialysis-among-older-eligible-patients-with-end-stage-renal-disease
#5
Ben Wong, Lorraine Venturato, Matthew J Oliver, Robert R Quinn, Pietro Ravani, Jayna Holroyd-Leduc
BACKGROUND: Older patients with end-stage renal disease (ESRD) are less likely to choose peritoneal dialysis (PD) over hemodialysis (HD). The reasons behind their choice of dialysis modality are not clear. This study seeks to determine the patient-perceived factors that influence ESRD patients' choice of dialysis modality among older ESRD patients who are deemed eligible for both PD and HD. METHODS: All patients had completed a multidisciplinary modality assessment, were deemed eligible for both PD and HD, and had received modality education...
October 25, 2016: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/27793122/acute-pancreatitis-associated-with-everolimus-after-kidney-transplantation-a-case-report
#6
Francesco Fontana, Gianni Cappelli
BACKGROUND: Acute pancreatitis (AP) following KT is a rare and often fatal complication of the early post-transplant period. Common causative factors for AP are rare after KT; anti-rejection drugs as CyA, prednisone and MMF have been implicated, although evidence is not strong and we found no reports on possible causative role for mTOR inhibitors. CASE PRESENTATION: A 55-year-old Caucasian man with end-stage renal disease due to idiopathic membrano-prolipherative glomerulonephritis underwent single kidney transplantation (KT) from cadaveric donor...
October 28, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27660305/the-agreement-between-auscultation-and-lung-ultrasound-in-hemodialysis-patients-the-lust-study
#7
Claudia Torino, Luna Gargani, Rosa Sicari, Krzysztof Letachowicz, Robert Ekart, Danilo Fliser, Adrian Covic, Kostas Siamopoulos, Aristeidis Stavroulopoulos, Ziad A Massy, Enrico Fiaccadori, Alberto Caiazza, Thomas Bachelet, Itzchak Slotki, Alberto Martinez-Castelao, Marie-Jeanne Coudert-Krier, Patrick Rossignol, Faikah Gueler, Thierry Hannedouche, Vincenzo Panichi, Andrzej Wiecek, Giuseppe Pontoriero, Pantelis Sarafidis, Marian Klinger, Radovan Hojs, Sarah Seiler-Mussler, Fabio Lizzi, Dimitrie Siriopol, Olga Balafa, Linda Shavit, Rocco Tripepi, Francesca Mallamaci, Giovanni Tripepi, Eugenio Picano, Gérard Michel London, Carmine Zoccali
BACKGROUND AND OBJECTIVES: Accumulation of fluid in the lung is the most concerning sequela of volume expansion in patients with ESRD. Lung auscultation is recommended to detect and monitor pulmonary congestion, but its reliability in ESRD is unknown. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In a subproject of the ongoing Lung Water by Ultra-Sound Guided Treatment to Prevent Death and Cardiovascular Complications in High Risk ESRD Patients with Cardiomyopathy Trial, we compared a lung ultrasound-guided ultrafiltration prescription policy versus standard care in high-risk patients on hemodialysis...
November 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/27646643/evaluation-of-anatomy-and-variations-of-superficial-palmar-arch-and-upper-extremity-arteries-with-ct-angiography
#8
Hatice Kaplanoglu, Osman Beton
AIM: To evaluate the abnormalities and variations of the arterial system of upper extremities and superficial palmar arch with computed tomography angiography and to guide the clinician during this procedure. METHODS: A total of 156 upper extremities of 78 cases were retrospectively analyzed using computed tomography angiography. The study was approved by the local ethics committee of the hospital. From the analysis of the computed tomography angiography images, the following information was recorded; the diameters and abnormalities of radial, ulnar and brachial arteries in both upper extremities, the presence of atherosclerotic changes or stenosis in these arteries, whether the superficial palmar arch was complete or incomplete, and arterial dominance...
September 19, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27538060/toxic-alcohol-ingestion-prompt-recognition-and-management-in-the-emergency-department
#9
Gillian A Beauchamp, Matthew Valento
Identifying patients with potential toxic alcohol exposure and initiating appropriate management is critical to avoid significant patient morbidity. Sources of toxic alcohol exposure include ethylene glycol, methanol, diethylene glycol, propylene glycol, and isopropanol. Treatment considerations include the antidotes fomepizole and ethanol, and hemodialysis for removal of the parent compound and its toxic metabolites. Additional interventions include adjunctive therapies that may improve acidosis and enhance clearance of the toxic alcohol or metabolites...
September 2016: Emergency Medicine Practice
https://www.readbyqxmd.com/read/27532211/effects-of-intradialytic-exercise-on-the-physical-function-depression-and-quality-of-life-for-hemodialysis-patients-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#10
REVIEW
Yu-Chu Chung, Mei-Ling Yeh, Yueh-Min Liu
AIMS AND OBJECTIVES: To determine the efficacy and safety of intradialytic exercises for hemodialysis (HD) patients, this study conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). BACKGROUND: Patients receiving HD have poor physical function, psychological status and quality of life than the general population. Exercise training may improve these parameters for HD patients. DESIGN: Systemic review and a meta-analysis was conducted...
August 17, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27478004/renal-dysfunction-and-the-associated-decrease-in-survival-after-elective-endovascular-aneurysm-repair
#11
Devin S Zarkowsky, Caitlin W Hicks, Ian C Bostock, David H Stone, Mohammad Eslami, Philip P Goodney
OBJECTIVE: The reported frequency of renal dysfunction after elective endovascular aneurysm repair (EVAR) varies widely in current surgical literature. Published research establishes pre-existing end-stage renal disease as a poor prognostic indicator. We intend to quantify the mortality effect associated with renal morbidity developed postoperatively and to identify modifiable risk factors. METHODS: All elective EVAR patients with preoperative and postoperative renal function data captured by the Vascular Quality Initiative between January 2003 and December 2014 were examined...
November 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27443578/application-of-ultrasound-guided-selective-sensory-nerve-block-for-the-endovascular-treatment-of-hemodialysis-fistula-in-the-forearm
#12
Hiroaki Matsuda, Yoshinari Oka, Ryuichi Yoshida, Yuki Katsura, Takanori Oyama, Ryoichi Katsube, Shigeko Takatsu, Masashi Miyazaki
No abstract text is available yet for this article.
2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27433340/studies-of-human-pancreatic-elastase-treatment-of-rabbit-and-human-vein-rings-to-predict-human-therapeutic-doses
#13
Steven K Burke, David Bunton, Karen Bingham, Emma Moss, Kimberly S Bland, Barry Starcher, Marco D Wong, F Nicholas Franano
Vascular tissue contains abundant elastic fibers that contribute to vessel elasticity. Vonapanitase (formerly PRT-201) is a recombinant human chymotrypsin-like elastase family member 1 (CELA1) shown to cleave the elastin component of elastic fibers, resulting in increased vessel diameter. The purpose of these current studies was to determine vein diameter, wall thickness, elastin content, and vonapanitase potency in veins used in a model of arteriovenous fistula (AVF) and in patients undergoing AVF creation for hemodialysis access to guide dose selection for human trials...
June 2016: Pharmacology Research & Perspectives
https://www.readbyqxmd.com/read/27408805/nonconvulsive-status-epilepticus-cases-arising-in-connection-with-cephalosporins
#14
Ibrahim Bora, Aylin Bican Demir, Pinar Uzun
Cephalosporins, particularly cefepime, exert neurotoxic side effects that can lead to status epilepticus. These neurotoxic side effects include myoclonus, dystonic movements, tremor, asterixis, seizure, status epilepticus, encephalopathy, and sometimes coma. Status epilepticus, particularly nonconvulsive status epilepticus (NCSE), is a well-known but unusual complication in patients with altered renal function who were receiving treatment with intravenous cephalosporins, especially cefepime. We reviewed the clinical and electroencephalographic (EEG) characteristics of 7 patients with renal failure who developed consciousness alterations with changes in EEG activity while being treated with cephalosporins...
2016: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/27401689/pragmatic-trials-in-maintenance-dialysis-perspectives-from-the-kidney-health-initiative
#15
Laura M Dember, Patrick Archdeacon, Mahesh Krishnan, Eduardo Lacson, Shari M Ling, Prabir Roy-Chaudhury, Kimberly A Smith, Michael F Flessner
Pragmatic clinical trials are conducted under the real-world conditions of clinical care delivery. As a result, these trials yield findings that are highly generalizable to the nonresearch setting, identify interventions that are readily translatable into clinical practice, and cost less than trials that require extensive research infrastructures. Maintenance dialysis is a setting especially well suited for pragmatic trials because of inherently frequent and predictable patient encounters, highly granular and uniform data collection, use of electronic data systems, and delivery of care by a small number of provider organizations to approximately 90% of patients nationally...
October 2016: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/27383649/absorption-of-salicylate-powders-versus-tablets-following-overdose-a-poison-center-observational-study
#16
S Rutherfoord Rose, Kirk L Cumpston, Janice Kim, Danielle Difranco, Brandon K Wills
BACKGROUND: Salicylate absorption following overdose of aspirin (ASA) tablet formulations can be prolonged for greater than 24 h. Accordingly, serial serum concentrations are typically recommended to guide treatment. However, there are little published data on absorption following ingestion of powder ASA formulations, and it is not known if delayed ASA absorption occurs following overdose of powder formulations. The objective of this study is to compare the absorption characteristics of powder and tablet formulations of ASA in patients reported to a single poison center...
July 6, 2016: Clinical Toxicology
https://www.readbyqxmd.com/read/27342656/venous-window-needle-guide-for-deep-vessels-and-difficult-arteriovenous-fistula-cannulation
#17
Giacomo Forneris, Marco Trogolo, Pasqualina Cecere, Daniele Savio, Dario Roccatello
The Venous Window Needle Guide (VWING™) has recently been proposed for patients with difficult arteriovenous fistula (AVF) access for hemodialysis due to deep vessels or other cannulation-related problems. This totally subcutaneous titanium device is sutured onto the upper wall of the matured fistula and may facilitate cannulation by the button-hole technique. We describe our initial experience with nine implants in six patients with a cumulative follow-up of 83 months, and make some experience-based technical suggestions for implant and surveillance radiological imaging...
June 24, 2016: Journal of Nephrology
https://www.readbyqxmd.com/read/27312920/fate-of-central-venous-catheters-used-for-acute-extracorporeal-treatment-in-critically-ill-pediatric-patients-a-single-center-experience
#18
Rina R Rus, Vladimir Premru, Gregor Novljan, Mojca Grošelj-Grenc, Rafael Ponikvar
Renal replacement treatment (RRT) is required in severe acute kidney injury, and a functioning central venous catheter (CVC) is crucial. Twenty-eight children younger than 16 years have been treated at the University Medical Centre Ljubljana between 2003 and 2012 with either acute hemodialysis (HD) and/or plasma exchange (PE), and were included in our study. The age of the patients ranged from 2 days to 14.1 years. Sixty-six CVCs were inserted (52% de novo, 48% guide wire). The sites of insertion were the jugular vein in 20% and the femoral vein in 80%...
June 2016: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/27299146/proper-angle-of-sono-guided-central-venous-line-insertion
#19
Hassan Barzegari, Arash Forouzan, Mohammad Ali Fahimi, Behzad Zohrevandi, Mandana Ghanavati
INTRODUCTION: Determining the proper angle for inserting central venous catheter (CV line) is of great importance for decreasing the complications and increasing success rate. The present study was designed to determine the proper angle of needle insertion for internal jugular vein catheterization. METHODS: In the present case series study, candidate patients for catheterization of the right internal jugular vein under guidance of ultrasonography were studied. At the time of proper placing of the catheter, photograph was taken and Auto Cad 2014 software was used to measure the angles of the needle in the sagittal and axial planes, as well as patient's head rotation...
2016: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/27297642/-direct-oral-anticoagulant-associated-bleeding
#20
A Godier, A-C Martin, N Rosencher, S Susen
Direct oral anticoagulants (DOAC) are recommended for stroke prevention in atrial fibrillation and for the treatment of venous thromboembolism. However, they are associated with hemorrhagic complications. Management of DOAC-induced bleeding remains challenging. Activated or non-activated prothrombin concentrates are proposed, although their efficacy to reverse DOAC is uncertain. Therapeutic options also include antidotes: idarucizumab, antidote for dabigatran, has been approved for use whereas andexanet alpha, antidote for anti-Xa agents, and aripazine, antidote for all DOAC, are under development...
July 2016: Journal des Maladies Vasculaires
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