AI Article Synopsis
- Preparing dialysis patients for access placement should start early, ideally before they need access; however, many are only seen after starting dialysis with a catheter.* -
- A thorough history and physical examination are crucial for tailoring access options to individual patients, guided by KDOQI guidelines to consider their medical circumstances and preferences.* -
- Discussions about patient values and expectations are essential in developing a lifelong plan, aiming for reliable access that preserves future options and enhances patient outcomes.*
Article Abstract
Preparing a dialysis patient for access placement is a process that should ideally begin well before the need for access use. Unfortunately, this is often not the case and patients are often seen well after dialysis has been initiated with a catheter. The process should include a detail-oriented history and a thorough vascular oriented physical examination. A complete history and physical exam will help tailor access options in individual patients. The KDOQI guideline structures the selection and timing of dialysis access, ensuring each patient's medical circumstances and preferences are taken into account. The preparation of a dialysis patient should also include discussion with the patient in regard to their values and expectations before coming to a life-long plan for the patient. This holistic approach aims to achieve reliable and functioning access while preserving future options and improving patient outcomes. This following review will cover the elements of both as well as adjunctive imaging modalities and their indications to allow for successful access placement.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1053/j.semvascsurg.2024.10.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!