Effects of sertraline in the prevention of low blood pressure in patients undergoing hemodialysis.
CONCLUSION: This study suggests that the use of sertraline may be beneficial to reduce the number of symptoms and ID interventions, although there was no statistically significant difference in the blood pressure levels. PMID: 31419272 [PubMed - as supplied by publisher]
CONCLUSION: Our data lead us to believe that it is possible to successfully treat catheter-related bloodstream infection caused by S. aureus and to avoid removing the tunnelled central venous catheter in many more cases than what has been reported in the literature. On the third day, it is mandatory to decide whether to replace the tunnelled central venous catheter or to carry on with antibiotic therapy. Apyrexia and amelioration of laboratory parameters suggest continuing systemic and antibiotic lock therapy for no less than 4 weeks, otherwise, tunnelled central venous catheter removal is recommended. PMID: 31512986 [...
Expanding home dialysis as an initial therapy for end-stage renal disease is feasible and safe, and produces better outcomes among patients than starting them on center-based hemodialysis.Medscape Medical News
Conditions: Chronic Renal Failure; Sleep Disorder; Hemodialysis; Light Therapy Intervention: Device: Light Therapy Sponsor: Centre Hospitalier Annecy Genevois Not yet recruiting
Infections among hemodialysis patients continues to be major causes of morbidity and mortality despite advances in the science of infection prevention. Many infections are potentially preventable, yet research suggests that evidence-based interventions are not uniformly practiced in dialysis settings. The purpose of the project was to reduce the risk of infection among hemodialysis patients in an outpatient dialysis clinic in upstate New York through the development of an enhanced patient safety culture.
Condition: Hypertension, Renal Interventions: Drug: Bisoprolol Fumarate 5-10 mg; Drug: Amlodipine 5-10 mg Sponsors: Alexandria University; Damanhour University Recruiting
Authors: Wagner JK, Fish L, Weisbord SD, Yuo TH Abstract BACKGROUND: Arteriovenous fistula is the ideal hemodialysis access, but most patients start with tunneled dialysis catheter. Arteriovenous fistula and arteriovenous graft surgery may reduce tunneled dialysis catheter use and also increase procedural expenses. We compared Medicare costs associated with arteriovenous fistula, arteriovenous graft, and tunneled dialysis catheter. METHODS: Using the US Renal Data System, we identified incident hemodialysis patients in 2008 who started with tunneled dialysis catheter, survived at least 90 days, and had a...
CONCLUSION: While popular opinion may indicate that steal syndrome is a commonly litigated complication, our data reveal that the most common injury litigated is death which may frequently be the result of a hemorrhagic episode. In addition to hemorrhage, the remaining most common complications included steal syndrome and loss of limb function. Therefore, steps to better prevent, diagnose and treat bleeding, nerve injury, and steal syndrome in a timely manner are critical to preventing hemodialysis-access-associated litigation. PMID: 31495258 [PubMed - as supplied by publisher]
We describe patients presenting to an academic medical center with CLABSI-POA over 1 year. Of the 130 admissions, half presented from home infusion (47%), followed by oncology clinic (22%), hemodialysis (14%), and skilled nursing facility (8%). Efforts to reduce CLABSIs should address patients across the entire health care system.
CONCLUSION: Hyperkalemia is efficiently treated by continuous renal replacement therapy using the dialysis mode. Caution is needed to prevent the onset of severe hypokalemia within 40 min after initiation of the session. PMID: 31509049 [PubMed - as supplied by publisher]
I Veerappan, G Thiruvenkadam, G Abraham, BR Dasari, A RajagopalIndian Journal of Nephrology 2019 29(5):317-323 The primary outcome was incidence of intradialytic hypertension (IDH) during standard and cooler isothermic dialysate temperatures. Two pair of haemodialysis sessions were done at 37°C (SHD) and at isothermic temperature (IHD). All the four dialysis were done on the same time of the day to negate the changes due to circadian variation in body temperature. Axillary and tympanic temperatures were measured before start of the dialysis and dialysis temperature was adjusted as per axillary temperature. Sixty pati...