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Complications in Dialysis
The book surveys common complications in the procedure of dialysis, including those due to inherent complexities related to advanced kidney disease and the disorders that cause it. The chapters review the pathophysiology or mechanisms of each complication, how it can be recognized and managed, and more importantly how it can be prevented. The text also addresses whether the complication is due to conditions associated with kidney disease, such as frailty and muscle weakness, or whether the complication occurs as the consequence of treatment. The complications addressed include infections, AV access and catheter issues, problems in procedure, coagulation-related disorders, and falls, among others. Written by experienced dialysis experts, this book is a resource and learning tool for anyone involved in caring for patients undergoing renal replacement therapy.
Buttonhole Cannulation
The buttonhole method for the cannulation of the arteriovenous fistula was discovered more than 40 years ago and was soon adopted on a wide scale due to its obvious benefits of decreased puncture pain and extension of the life of the arteriovenous fistula. Following reports of complications such as a higher incidence of access-related infections, the method has lately been the subject of intense scrutiny; recent research has focused on the mechanisms of buttonhole access-related infections and newer techniques that may have bearing on the future use of the buttonhole method. This book presents an easily accessible overview of information relevant to the subject, including history, benefits and the latest research results related to the buttonhole cannulation method. It aims to rekindle an awareness of the advantages of this method and to encourage a critical analysis of possible techniques to overcome current barriers that prevent a wider spread of the technique.
