Hemodialysis Vascular Access
BRIEF HISTORY OF VASCULAR ACCESS The history of vascular access for hemodialysis is closely tied to the history of dialysis. In 1924, Georg Haas in Giessen, Germany, performed the first…
BRIEF HISTORY OF VASCULAR ACCESS The history of vascular access for hemodialysis is closely tied to the history of dialysis. In 1924, Georg Haas in Giessen, Germany, performed the first…
BIOCHEMICAL ABNORMALITIES IN PATIENTS WITH CHRONIC KIDNEY DISEASE-MINERAL AND BONE DISORDER The first component of CKD-MBD is abnormal mineral metabolism including that of serum calcium, phosphate, PTH, vitamin D, and…
DEMOGRAPHIC CHARACTERISTICS OF THE GERIATRIC POPULATION WITH END-STAGE KIDNEY DISEASE Incidence and Prevalence of End-Stage Kidney Disease in the Elderly When the Medicare end-stage kidney disease (ESKD) program was funded…
Some of the factors that contribute to the high prevalence of CAD in patients with ESKD include advancing age and diabetes. The average age of dialysis patients has increased steadily…
BUSINESS AS USUAL The majority of physicians have little to no formal training in business or business principles. As mentioned earlier, this was not necessary or relevant to running a…
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PROTEIN-ENERGY WASTING IN MAINTENANCE DIALYSIS PATIENTS Causes and Treatment of Protein-Energy Wasting Protein-energy wasting (PEW) refers to the loss or reduced amounts of protein, fat, and/or carbohydrates in the body…
A second type of dialysis-related hypotension is a chronic, persistent form of hypotension that occurs in approximately 5% of dialysis patients (1). This second form of hypotension is usually observed…
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EPIDEMIOLOGY The diagnosis of hypertension is complicated in the hemodialysis (HD) patient due to the episodic nature of HD and the wide fluctuations in blood pressure (BP) that result, with…