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Therapy: Dialysis
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Total 2040 results found since Jan 2013.
Proximalization of Inflow With Adjunct Arterial Pressure Measurement for Hemodialysis Access-induced Digital ischemia
Hemodialysis access-induced distal ischemia (HAIDI) is an uncommon, yet potentially devastating complication of hemodialysis access surgery. Symptomatic HAIDI affects about 10% of dialysis patients and can present with mild hand coolness, rest pain, or tissue loss. Volume flow determines the management of HAIDI and may involve banding; revision using distal inflow; proximalization of inflow, distal revascularization; interval ligation; or access ligation. This case report highlights the use of proximalization of inflow with adjunctive intraoperative measurement of distal perfusion to treat severe HAIDI.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Vincent Narvaez, Samuel Paci, Jeffrey Silpe, Gregg Landis, Yana Etkin Tags: Dialysis Access Source Type: research
62-Year-Old Man With Abdominal Pain and Cloudy Peritoneal Dialysate
A 62-year-old man presented to the emergency department for evaluation for abdominal pain. He has a history of end-stage renal disease (ESRD) secondary to lithium toxicity, now on peritoneal dialysis (PD) for 2 years. His past medical history was also notable for hypertension, obstructive sleep apnea (OSA) adherent to continuous positive airway pressure (CPAP) ventilation, heart failure with reduced ejection fraction caused by idiopathic dilated cardiomyopathy, bipolar disorder, and ongoing tobacco use.
Source: Mayo Clinic Proceedings - September 1, 2023 Category: Internal Medicine Authors: Alexander Xiao, Saam Dilmaghani, M. Nadir Bhuiyan Tags: Residents ’ clinic Source Type: research
Investigation of the effect of breathing exercise on invasive pain associated with arteriovenous fistula cannulation in hemodialysis patients: Randomized controlled, single-blind study
CONCLUSION: It was determined that the breathing exercise applied before the AVF cannulation reduced the invasive pain experienced during cannulation.PMID:37615173 | DOI:10.1177/11297298231194756
Source: The Journal of Vascular Access - August 24, 2023 Category: Surgery Authors: Sila Caglar Nurten Ozen Source Type: research
75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal
disease was sent to the ED after dialysis for three days of nausea, vomiting,
loose stool, lightheadedness and fatigue. RR18 sat 99% HR 90 BP 90/60, afebrile. Below is the 15 lead ECG. What do you think? There ’s normal sinus rhythm, normal conduction, normal axis,
normal R wave progression and normal voltages. There’s subtle inferior ST
elevation with straightening of the ST segment, reciprocal ST depression and T
wave inversion in aVL, and ST depression in V2. This is diagnostic of
infero-posterior OMI, but it is falsely n...
Source: Dr. Smith's ECG Blog - August 19, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs
Acute tubular injury in a patient with acetaminophen toxicity
A 31-year-old woman with a history of alcohol abuse presented with nonoliguric acute kidney injury, mild pancreatitis, and diarrhea. Her only medication was acetaminophen, 1 to 2 g every 4 to 6 hours for 4 days for abdominal pain. Admission blood pressure was 122/74 mm Hg with serum creatinine of 9.16 mg/dl (baseline, 0.5 mg/dl), requiring dialysis. Urine sediment was inactive. Blood ethanol was undetectable. Aspartate and alanine transaminases were>20,000 U/L and 3799 U/L, respectively. Creatine kinase level was normal.
Source: Kidney International - August 18, 2023 Category: Urology & Nephrology Authors: Zhe Ran S. Duan, Umesh Dalal, Vivette D ’Agati, Satoru Kudose Tags: Nephrology Image Source Type: research
A Case of Ischemic Monomelic Neuropathy following Endovascular Arteriovenous Fistula Creation and Assisted Maturation
Semin intervent Radiol 2023; 40: 290-293 DOI: 10.1055/s-0043-1769765Dialysis access steal syndrome (DASS) is a phenomenon known to occur following creation of an arteriovenous fistula or arteriovenous graft. The clinical presentation of DASS is characterized by symptoms of limb ischemia due to diversion of arterial flow from the distal extremity. Ischemic monomelic neuropathy (IMN) is a rare subtype of DASS classically described as an acute, isolated presentation of peripheral neuropathy following dialysis access creation. Although the underlying pathophysiology is not entirely understood, the clinical manifestation of IMN...
Source: Seminars in Interventional Radiology - July 20, 2023 Category: Radiology Authors: Sonnabend, Kyle Park, Simon Shah, Ketan Lipnik, Andrew J. Niemeyer, Matthew M. Tags: Review Article Source Type: research
Long-Term Safety, Efficacy, Indications, and Criteria of Arteriovenous Fistula Ligation Following Kidney Transplant: A Patient-Driven Approach
CONCLUSIONS: In our study, the long-term risks of surgical complications and allograft impairment after ligation were negligible. As a result of our current findings and known positive cardiovascular benefit, patient-driven arteriovenous fistula ligation after kidney transplant should be routinely considered in patients with stable allograft function.PMID:37455468 | DOI:10.6002/ect.2023.0024
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - July 17, 2023 Category: Transplant Surgery Authors: Aimee H Dubin Julia Martin-Velez Nathan T Shenkute Alexander H Toledo Source Type: research
Electronic Decision Support for Deprescribing in Patients on Hemodialysis: Clinical Research Protocol for a Prospective, Controlled, Quality Improvement Study
CONCLUSIONS: Electronic decision support can facilitate deprescribing for the clinical team by providing a nudge reminder, decreasing the time it takes to review and effectuate guideline recommendations, and by lowering the barrier of when and how to taper. Guidelines for deprescribing in the dialysis population have recently been published and incorporated into the MedSafer software. To our knowledge, this will be the first study to examine the efficacy of pairing these guidelines with MedRecs by leveraging electronic decision support in the outpatient dialysis population.TRIAL REGISTRATION: This study was registered on C...
Source: Cancer Control - July 12, 2023 Category: Cancer & Oncology Authors: Émilie Bortolussi-Courval Tiina Podymow Emilie Trinh Joseph Moryousef R Hanula Jean-Fran çois Huon Thomas Mavrakanas Rita Suri Todd C Lee Emily Gibson McDonald Source Type: research
Peritoneal Dialysis-associated Peritonitis Due to Streptococcus oralis Three Weeks after Peritoneal Dialysis Initiation: A Case Report
Intern Med. 2023 Jul 12. doi: 10.2169/internalmedicine.2035-23. Online ahead of print.ABSTRACTA 60-year-old man with end-stage renal disease due to nephrosclerosis had a peritoneal dialysis catheter (PD) embedded with stepwise initiation of peritoneal dialysis using Moncrief and Popovich's technique three months ago. PD was initiated three weeks after creating an exit site. He presented with abdominal pain and fever a day before admission and was diagnosed with PD-associated peritonitis caused by Streptococcus oralis. Medical consultation after admission revealed a history of wisdom tooth extraction following PD catheter p...
Source: Internal Medicine - July 12, 2023 Category: Internal Medicine Authors: Yu Mihara Hiroshi Kado Kenji Matsumoto Ryo Kurose Erika Tsujinaka Kunihiro Nakai Asuka Yamauchi Tsuguru Hatta Source Type: research
