Publications by authors named "T M Litchfield"
Entrapped patients may be simply entombed or experiencing crush injury or entanglement. Patients with trauma who are entrapped are at higher risk of significant injury than patients not entrapped. Limited access and prolonged scene times further complicate patient management.
View Article and Find Full Text PDFBackground: The COVID 19 pandemic adversely impacted delivery of preventive, routine, urgent, and essential care worldwide. Dialysis access care was particularly affected due to the lack of specific guidelines regarding procedures for its creation and maintenance. Early guidance by Centers for Medicare and Medicaid was inadvertently interpreted as guidance to stop dialysis access procedures.
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- * The Kidney Health Initiative formed a team to enhance the use of access-related PROs by identifying areas of quality of life affected by vascular access, assessing barriers to PRO usage, and recommending solutions to improve their application.
- * The group outlined six categories of barriers to PRO usage and suggested five action areas, including the development and accessibility of vascular access-specific PRO measures for various kidney disease populations.
Rationale & Objective: Percutaneous arteriovenous fistulas (AVF) are created by establishing a proximal forearm anastomosis and offer a safe and reliable vascular access. This study compares the Ellipsys percutaneous AVF with a proximal forearm Gracz-type surgical AVF, chosen for comparison as it is constructed at the same anatomical site.
Study Design: Retrospective study of prospectively collected clinical data.
Purpose: The purpose of this study was to compare the clinical outcomes of Ellipsys with those of WavelinQ-4F percutaneous arteriovenous fistulae (pAVF) devices in a single center by a single operator.
Materials And Methods: A retrospective review was conducted in 100 patients who underwent pAVFs procedures (65 Ellipsys and 35 WavelinQ patients) and created between December 2017 and December 2019. A total of 69% were male and 37% were diabetic.