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Doctor insights on: What Does Dialysis Vascular Access Mean

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What does dialysis vascular access mean?

What does dialysis vascular access mean?

Access to blood: Hemodialysis needs access to blood to run high speed flow about 12-15 oz of blood per minute. This requires a larger line under the collar bone which is a temporary method or a surgery to connect the veins of arm with an artery which pours great flow of blood into the vein. The vein will get larger and can be stuck with a needle to make access to blood easy. A plastic tube may be used, a graft. ...Read more

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Dr. Quresh Khairullah
515 doctors shared insights

Dialysis (Definition)

Simple answer is that it is a medical technology used primarily to provide an artificial replacement for lost kidney function in people with renal failure. Hemodialysis remove wastes and excess water from the blood by circulating blood outside the body through an external filter, called a dialyzer. Blood and dialysate flow through in opposite directions and the ...Read more


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What are the different types of vascular access?

What are the different types of vascular access?

AV fistula: Graft and tunneled catheters are what is commonly used for dialysis access ...Read more

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What is vascular access, other than just an i.V.?

What is vascular access, other than just an i.V.?

A generic term: Vascular access is a generic term that describes anything from ivs to sophisticated catheters. This also describes when veins are surgically connected to arteries (called av fistulas) so patients can get dialysis for kidney disease. Special catheters called ports are often needed for patients about to receive chemotherapy. ...Read more

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How long after vascular shunt placement can I begin dialysis?

How long after vascular shunt placement can I begin dialysis?

Depends: Most access surgeons will recommend 1-2 weeks after placement. This is to allow scar to form around the graft so that your risk of bleeding/infection after accessing with needles is lower. In an emergency, it can be used sooner. ...Read more

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Can Ccr be 9.7 ml/min if S.Creatinine is just 2.37 mg/dl? S. Cr is consistent for 3 yrs. Does that mean I need dialysis, or it may be lab error?

Can Ccr be 9.7 ml/min if S.Creatinine is just 2.37 mg/dl? S. Cr is consistent for 3 yrs. Does that mean I need dialysis, or it may be lab error?

Subscientific: This pathologist doesn't believe in the "estimated GFR's" from spot creatinines. The idea of dialyzing somebody with a creatinine 2.3 is bolt stupid. I'll bet your nephrologist -- if you've even been referred -- will tell you the same thing. Just watch your diabetes and your hypertension and hopefully we can keep this under control. ...Read more

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End-stage renal disease means you need dialysis?

End-stage renal disease means you need dialysis?

When kidneys fail: End stage renal disease is stage five ckd or GFR 15 or less. Dialysis is started when the function of the kidneys is inadequate to remove the metabolic byproducts of metabolism. In practice this is usually determined by measuring gfr. Most people have to start dialysis when GFR drops to 10-15 though it may have to be started higher or lower than that. ...Read more

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What are the negative effects of dialysis access surgery?

What are the negative effects of dialysis access surgery?

Dialysis Access: You may be preparing for kidney dialysis by getting a "fistula"- a surgically created connection between an artery and vein. You may be having a peritoneal access port placed in your abdomen. Or you may be having both! All surgeries carry risks of infection, bleeding, damage to tissue, and allergic reaction. But starting dialysis with a central IV line carries risks, too. We say, "Fistula first!" ...Read more

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What does it mean to be fitted with a fistula for dialysis?

What does it mean to be fitted with a fistula for dialysis?

Surgery: Arm vein connected to arm artery. The vein is used for dialysis access once it has been allowed to grow in size ( maturing ). ...Read more

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What could be the negative effects of dialysis access surgery?

What could be the negative effects of dialysis access surgery?

Dialysis access surg: 1. You can lose your arm or hand-a bad effect. 2. You may get better dialysis and live longer. Some will consider this a bad effect depending on how they do no dialysis as they may not feel well. Discuss with the team doing it. They can tell you their own experience. and that is what you want to know. ...Read more

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What does it mean when a dialysis patient clogs the dialysis machine?

What does it mean when a dialysis patient clogs the dialysis machine?

Kidney machine clog?: I am not sure what you are referring to by a dialysis patient's clogging of a kidney machine. Patients can have their dialyzer (d), the artificial kidney, during dialysis. This normally occurs when the patients are not getting enough Heparin during dialysis and their d's clot ending their use of that d. If that is not the answer you were looking for, ask the patient's nephrologist youyr question. ...Read more

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What type of dialysis access procedure would be necessary for peritoneal dialysis?

PD cath: A peritoneal catheter is introduced in the lower abdomen to allow for introduction of fluids in and out. ...Read more

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What does an av fistula for dialysis mean?

What does an av fistula for dialysis mean?

Arteriovenous fistul: It is an arteriovenous fistula. It is a surgical connection of an artery and a vein. Once "mature", it is where they insert the needles for the blood to flow to the dialysis machine. It can take 3 months or so from "creation" until it is ready to use. ...Read more

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What does it mean if the area you receive dialysis in gets physically hot?

What does it mean if the area you receive dialysis in gets physically hot?

Possible infection: The skin over an old dialysis graft or fistula should be be same temperature as the surrounding tissue. Redness, warmth are all signs of infection which is unfortunately common with av access. However, a recently placed graft may demonstrate inflamatory changes as the skin is reacting to the "foreign body". All of this should be evaluated by your surgeon. ...Read more

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What exactly does dialysis mean?

Filter: Dialysis does the work of kidneys, acts like kidney filter. Removes the extra fluid and wastes, toxins that accumulate in the body. ...Read more

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Does kidney failure in small children mean dialysis?

Does kidney failure in small children mean dialysis?

It depends: Acute, reversible kidney failure in a child does not always result in dialysis. Chronic, non-reversible renal failure will likely result in dialysis. Peritoneal dialysis is preferred for a variety of reasons. Finally, renal transplant asap is the ultimate preferred treatment for children who are on dialysis. Children need to grow and getting a transplant is their best hope to see that happen. ...Read more

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What would causes a dialysis permacath access site to suddenly become sore and painful?

Permacath redness: Have your nephrologist (n) or dialysis nurse look at it. You may have a cellulitis in the permacath's (p) insertion site. You may need antibiotics to treat it. You should also ask your n to refer you to a vascular surgeon for an av fistula creation so you can be free of your p and have a much lower risk of such infections and feel better. ...Read more

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Hi! can the creatinine level be reduced by Steam / sauna bath. The creatinine level is 8.2 can this be reduced by any other means other than Dialysis.

Hi! can the creatinine level be reduced by Steam / sauna bath. The creatinine level is 8.2 can this be reduced by any other means other than Dialysis.

No: It is a very high number and it might get a little bit better on its own. But i. General, people with high creatinine that cannot be brought back down with medical management are better off with dialysis to filter all the toxins in their bodies. ...Read more

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Why do physicians use metal needles to access dialysis fistula?

Why do physicians use metal needles to access dialysis fistula?

It is less traumatic: Usually specially-trained nurses or technicians access dialysis fistulas, not physicians. Metal needles are used to help penetrate the skin and the thickened wall of the vein accurately and with minimal trauma. Sometimes blunt needles are used (if a buttonholing technique is being employed). ...Read more

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Dr. Jaynish Patel
48 doctors shared insights

Vascular Access (Definition)

Vascular access is a catheter or other small device that IV's can be attached to or needles can be inserted into, in order to give medications to a patient and/or take blood samples from him. Simple vascular access can be placed by a doctor at the bedside, but deeper or complex access is usually done under anesthesia, ...Read more


Dr. Lynne Weixel
5 doctors shared insights

Vascular (Definition)

"vasculum" ...Read more