Publications by authors named "Jwa K Kim"
Introduction: This study was conducted to analyze the effectiveness of a custom-made Doppler ultrasound (DUS) flow simulator, vascular phantom, and Doppler test fluid in the training of dialysis staff in flow volume (FV) measurements for arteriovenous (AV) access in hemodialysis (HD) patients.
Methods: A DUS flow simulator was constructed using a continuous renal replacement therapy machine. Vascular phantoms were constructed using a rubber enema tube and keyboard cleaning gel.
Article Synopsis
- - The study aimed to compare the performance of plastic cannulae with a 17-gauge inner needle vs. traditional 16-gauge metal needles in maintaining stable venous and arterial pressures during hemodialysis.
- - Conducted with 16 newly treated hemodialysis patients, the trial measured arterial and venous pressures across different blood pump flow rates, randomly assigning participants to either the metal needle or plastic cannula group.
- - Results indicated that patients using plastic cannulae experienced more stable pressures at all tested flow rates, showing significant improvements in pressure metrics compared to those using metal needles (P < 0.001).
Background: Controversies exist whether arteriovenous fistula (AVF) placement is preferred over arteriovenous graft (AVG) for elderly patients. Current guidelines did not offer specific recommendations. Thus, this study was conducted to analyze the all-cause mortality and primary patency associated with various vascular access (VA) types according to age group.
View Article and Find Full Text PDFThe purpose of this article was to introduce an easy and inexpensive way of making a simulator for training in Doppler ultrasound flow rate measurement using a continuous renal replacement therapy machine and home-made phantoms. A Doppler ultrasound flow simulator was made using a continuous renal replacement therapy machine and vascular phantoms for flow rate assessment of dialysis access with readily accessible components including rubber tube, keyboard cleaning gel, and freeze-dried instant coffee granules. The simulator is an affordable and easy method of Doppler ultrasound flow rate measurement training for dialysis staff using materials readily available in dialysis centers.
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- * A study analyzing insurance claims from 2008 to 2016 found that medical expenses for vascular access treatment skyrocketed from 7.12 billion KRW to 42.12 billion KRW, with significant increases in the frequency and cost of procedures.
- * The rising costs, particularly due to more percutaneous angioplasty procedures, highlight the need for better management strategies for end-stage renal disease in Korea, including timely surgical interventions.
Introduction: The number of elderly patients requiring hemodialysis has increased, along with the need for multiple vascular access placements. Thus, the frequency of access creation using the upper arm veins, including transposed basilic arteriovenous fistula, has also increased. The purpose of this study was to identify the prevalence of anatomical variations in the upper arm veins on preoperative mapping venography and to investigate the implications of such variants on access creation.
View Article and Find Full Text PDFBackground/aims: Tolvaptan is a very effective treatment for hypervolemic or euvolemic hyponatremia. We compared the clinical efficacy of and response to tolvaptan in patients with the syndrome of inappropriate antidiuretic hormone secretion (SIADH) and congestive heart failure (CHF).
Methods: We retrospectively reviewed the medical records of 50 patients (SIADH, n = 30; CHF, n = 20) who were prescribed tolvaptan between July 2013 and October 2015.
Background/aims: Normal myocardial perfusion is closely associated with very low rates of cardiac events and better long-term outcomes; however, little is known about its prognostic value in patients with end-stage renal disease (ESRD).
Methods: A total of 286 incident patients underwent baseline cardiac evaluations using echocardiography and stress-rest single-photon emission computed tomography. Perfusion scans for 177 patients (61.
Background: Left ventricular (LV) geometric patterns have never been evaluated as independent risk factors for renal disease progression (RDP). We investigated the risk factors for RDP in type 2 diabetic nephropathy patients, especially focusing on the effects of LV geometric patterns.
Methods: This was a single-center retrospective cohort study.
The purpose of this study was to examine the cardiovascular responses to water treadmill walking at 2.0 mph (3.2 km/hr), 2.
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