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Minimizing early catheter failure using a risk stratification model for peritoneal dialysis
CONCLUSIONS: We established an effective risk stratification model, by which patients with high risk of early catheter failure could be precisely identified. The clinical procedure based on the model was proved to be helpful to minimize early catheter failure.PMID:38053444 | DOI:10.1111/sdi.13187 (Source: Seminars in Dialysis)
Source: Seminars in Dialysis - December 6, 2023 Category: Urology & Nephrology Authors: Lulu Sun Chuan Cheng Yuqin Wang Changqing Luo Mingzhu Ye Jing Sun Chun Zhang Lijun Yao Huajun Jiang Source Type: research

Feedback control in hemodialysis
Semin Dial. 2023 Nov 23. doi: 10.1111/sdi.13185. Online ahead of print.ABSTRACTA number of systems of feedback control during dialysis have been developed, which have the shared characteristic of prospectively measuring physiological parameters and then automatically altering dialysis parameters in real time according to a pre-specified dialysis prescription. These include feedback systems aimed at reducing intradialytic hypotension based on relative blood volume monitoring linked to adjustments in ultrafiltration and dialysate conductivity, and blood temperature monitoring linked to alterations in dialysate temperature. F...
Source: Seminars in Dialysis - November 23, 2023 Category: Urology & Nephrology Authors: Ashveer Randhay Mohamed Tarek Eldehni Nicholas M Selby Source Type: research

An unusual case of iatrogenic central venous injury
We describe an unusual case of central venous injury in a 69-year-old lady with a poorly functioning left internal jugular vein catheter, which was in situ at the time of attempting insertion of a replacement right internal jugular catheter. The management included initial stabilization, urgent hemodialysis, imaging, and an endovascular approach to mitigate the iatrogenic venous injury. The case highlights many learning points. The operator needs to be vigilant for anatomical abnormalities like stenosis in patients who have had previous CVC. In those with central venous perforation, the CVC should be left in situ till a de...
Source: Seminars in Dialysis - November 16, 2023 Category: Urology & Nephrology Authors: Vishal Singh Ajay Kumar Dabas Pulkit Singh Sreenivasa S Pavitra Manu Dogra Indranil Ghosh Source Type: research