1.

Record Nr.

UNINA9910454329603321

Titolo

Dialysis access [[electronic resource] ] : current practice / / editors, J.A. Akoh, N.S. Hakim

Pubbl/distr/stampa

London, : Imperial College Press

River Edge, N.J., : Distributed by World Scientific Pub. Co., c2001

ISBN

1-281-86616-4

9786611866167

1-84816-172-7

Descrizione fisica

1 online resource (416 p.)

Altri autori (Persone)

AkohJ. A (Jacob A.)

HakimNadey S. <1958->

Disciplina

617.461059

Soggetti

Hemodialysis

Arteriovenous shunts, Surgical

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

CONTENTS               ; Foreword               ; List of Contributors                           ; 1. Dialysis Access: Past Present and Future                                                  ; 1.1. Introduction                        ; 1.2. Historical Milestones                                 ; 1.3. Access Morbidity                            ; 1.4. 2000 and Beyond                           ; 1.5. Conclusion                      ; References                 ; 2. Modality Selection and Patient Outcome                                                ; 2.1. Introduction

2.2. Treatment Modalities in End-Stage Renal Failure                                                           2.3. Pattern of Dialysis Provision                                         ; 2.4. Outcomes of Dialysis                                ; 2.5. Planning for End Stage                                  ; 2.6. Initiation of Dialysis                                  ; References                 ; 3. Continuous Quality Improvement Through Clinical Pathways                                                                  ; 3.1. Introduction

3.2. Continuous Quality Improvement                                          3.3. Application of the Plan-Do-Check-Act (PDCA) Model of CQI with Clinical Pathway Development                                                                                                      ; 3.4. Clinical Pathways for Vascular Access Devices                                                        



; References                 ; Further Reading                      ; 4. The Access Clinic                           ; 4.1. Introduction

4.2. Role of the Access Clinic                                     4.3. Pre-operative Clinical Evaluation                                             ; 4.4. Selection of Permanent Vascular Access                                                  ; 4.5. Preservation of Vein for Access                                           ; 4.6. Subsequent Visits to the Access Clinic                                                  ; 4.7. Complications Seen at the Access Clinic                                                   ; 4.8. Special Problems

4.9. Patient Education                             4.10. Communication                          ; References                 ; 5. Recirculation and Dialysis Access                                           ; 5.1. Introduction                        ; 5.2. Recirculation in the Arteriovenous Access                                                     ; 5.3. Recirculation in the Central Venous Catheter Access                                                               ; 5.4. Cardiopulmonary Recirculation

5.5. Combined Cardiopulmonary and Access Recirculation

Sommario/riassunto

The incidence of treated end stage renal disease (ESRD) continues to rise, particularly in the western world. Although renal transplantation is the treatment of choice for ESRD, the decline in the number of cadaveric organs, coupled with the rising demand for transplantation, means that an increasing number of patients will have to depend on dialysis. Vascular or peritoneal access is the Achilles' heel of any dialysis service.  This book offers a clear description of the state of the art in providing and preserving a durable and reliable access. It also points the way to dialysis in the 21st