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Dialysis Rounding Primer: Access – Arteriovenous Access

Arteriovenous access is the preferred access for hemodialysis (as opposed to use of a catheter). There are 2 types of arteriovenous access Arteriovenous fistula (AVF) - native artery transposed to native vein. Native vein hypertrophies under increased arterial pressure.  This becomes fistula.  This is the preferred dialysis access (over both catheters and arteriovenous

By |2023-12-23T21:25:15+00:00May 31st, 2023|Dialysis|0 Comments

Dialysis Rounding Primer – Access: Catheter

Dialysis access is the lifeline for patients on dialysis.  The goal is to have a durable arteriovenous access (ideally an arteriovenous fistula). However, this is not always possible.  The majority of patients initiate dialysis with a catheter and there may be complications that impair the use of the arteriovenous access in prevalent patients.

By |2023-12-23T21:17:52+00:00May 10th, 2023|Dialysis|0 Comments

Dialysis Rounding Primer Adequacy of Dialysis

How do we decide the treatment time or duration of dialysis? How do we assess if a patient is getting sufficient dialysis? Dialysis adequacy refers to the clearance of uremic toxins.  Although we use BUN, creatinine and eGFR to assess the degree of kidney function, we don’t use these parameters to assess the

By |2023-12-23T21:45:39+00:00April 19th, 2023|Dialysis|0 Comments

Dialysis Rounding Primer Acute Kidney Injury

It has become more common for patients with dialysis requiring acute kidney injury (AKI) to be dialyzed in the outpatient setting.   With more medically complex patients and the incentive to decrease length of hospitalizations it is not uncommon for patients with dialysis requiring AKI to be discharged from the hospital prior to recovery

By |2023-12-27T16:43:35+00:00March 29th, 2023|Dialysis|0 Comments

Dialysis Rounding Primer – Introduction

Primer for rounding on dialysis patients in the outpatient clinic.  Intended for physician extenders, new fellows, and any other provider who wants to understand the mystery of dialysis. Topics: Acute Kidney Injury without recovery requiring continued outpatient dialysis Adequacy of dialysis Dialysis access Catheter Arteriovenous Access Anemia management Nutrition Mineral Bone Disease HTN/

By |2023-12-27T23:05:34+00:00February 12th, 2023|Dialysis|0 Comments

Dialysis Access: Fistula or Graft? How to figure it out

First of all, what’s the difference between a fistula and a graft? To do dialysis you need to be able to consistently insert two large bore needles, 3 times a week.  This is typically done via a fistula or graft. Fistula: An artery is redirected to directly connect to a vein.  Over time

By |2023-12-27T23:20:39+00:00January 18th, 2023|Dialysis|0 Comments
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