Seminars In Dialysis
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- Ovid from 1999, Gale, Wiley from 1988, Rcgp, and Ingenta
Prevention and treatment of hemodialysis-related bloodstream infections.
Despite improvements in the delivery of care, the annual all-cause mortality rate for end-stage renal disease (ESRD) patients is still around 220 deaths per 1000 at risk patient-years. Infection-related causes are second only to cardiovascular events as a cause for mortality among ESRD patients. Alm...
Radial artery harvest: a potential cause of arteriovenous access-associated hand ischemia.
We report an additional factor that can induce hand ischemia in hemodialysis patients. A 64-year-old white man with coronary artery disease underwent a coronary artery bypass graft procedure using the left radial artery as the bypass graft. Several months later, a left extremity Gracz fistula was cr...
Peritoneal dialysis should not be the first choice for renal replacement therapy in the elderly.
Based on our review, it appears fair to infer that substantive differences in long-term outcome with PD compared with in-center HD have not been documented. PD may offer a slight advantage in younger, nondiabetic patients in the early phase of renal replacement therapy. Nevertheless, PD is not an ad...
The intuitive case for β-blockers in patients with ESRD.
We will explore the etiology of SCD in dialysis patients and discuss the evidence supporting the use of β-blockers in patients with ESRD. We will also examine potential impediments to the use β-blocker in the dialysis population and outline directions for future trials in this area....
Diastolic heart failure in dialysis patients: mechanisms, diagnostic approach, and treatment.
We review the information available on the mechanisms, clinical presentation, impact, and potential interventions in DHF based on evidence from CKD patients, as well as evidence from the general population potentially applicable to the CKD population. © 2012 Wiley Periodicals, Inc....
Nocturnal hemodialysis: analysis following the Frequent Hemodialysis Network trial.
The recently concluded Frequent Hemodialysis Network (FHN) trials have demonstrated some striking and unexpected results. Both the daily arm and the nocturnal arm of the trial clearly demonstrated that frequent (daily or nightly) dialysis reduced blood pressure, reduced the number of...
Pregnancy in end stage renal disease.
We will address fertility issues in young women with ESRD, review pregnancy outcomes in women on both hemodialysis and peritoneal dialysis, and provide suggestions for the management of the pregnant women on intensive hemodialysis. © 2011 Wiley Periodicals, Inc....
Veterans more likely to start hemodialysis with an arteriovenous fistula.
We used patient-level data (6/05-5/06) from Medicare claims (n = 25,912) to compare the proportions of AVF among incident patients at VAMC-affiliated (n = 20) and unaffiliated dialysis (n = 1631) facilities. Multivariate logistic regression was used to determine whether associations of access type w...
Why are some dialysis patients chronically hypotensive in the absence of heart disease and volume depletion?
When should renal replacement therapy be initiated for acute kidney injury?
We will discuss the criteria that have been used to define early vs. late initiation in previous studies on dialysis initiation. In addition, we propose a patient-centered approach to define early and late initiation that could serve as framework for managing patients and for future studies in this...