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[Indications and preparations for kidney dialysis].
P Jungers1, C Robino, G Choukroun
1Département de néphrologie, Hôpital Necker, 75743 Paris.
La Revue Du Praticien
|May 18, 2001
Summary
Patients with end-stage renal failure are candidates for maintenance dialysis, with few medical contraindications. Early preparation and informed choices are crucial for successful dialysis treatment.
Area of Science:
- Nephrology
- Renal Medicine
Context:
- End-stage renal failure (ESRF) affects patients of all ages and etiologies.
- Dialysis is a primary treatment modality for ESRF.
Purpose:
- To define the criteria and preparation necessary for initiating maintenance dialysis.
- To emphasize the importance of patient selection and preparation for dialysis.
Summary:
- All patients with ESRF are candidates for maintenance dialysis, barring severe medical contraindications.
- Dialysis initiation is typically based on laboratory criteria (e.g., creatinine clearance 7-10 mL/min/1.73 m2) rather than solely on uremic symptoms.
- Essential preparation includes psychological support, hepatitis B vaccination, arteriovenous fistula creation for hemodialysis, and comprehensive patient education on dialysis modalities.
Impact:
- Facilitates timely and appropriate initiation of dialysis for ESRF patients.
- Improves patient outcomes through proactive medical and psychological preparation.
- Empowers patients to make informed decisions regarding their dialysis treatment options.