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Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Dialysis01:15

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Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Peritoneal Dialysis I: Introduction and Procedure01:30

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Peritoneal dialysis (PD) is a procedure that facilitates the exchange of solutes, waste products, electrolytes, and excess fluid between the blood in the peritoneal capillaries and a dialysis solution introduced into the peritoneal cavity.Principles of Peritoneal Dialysis (PD)Diffusion: Waste products such as urea and electrolytes move from high concentrations in the blood to low concentrations in the dialysate across the peritoneal membrane. This mechanism is driven by the concentration...

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A Murine Model of Hemodialysis Access-Related Hand Dysfunction
08:39

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Published on: May 31, 2022

Dialysis access.

Patrick A Stone1, Albeir Y Mousa, John E Campbell

  • 1West Virginia University, Charleston, WV 25304, USA. pstone0627@yahoo.com

Annals of Vascular Surgery
|February 3, 2012
PubMed
Summary
This summary is machine-generated.

Hemodialysis access procedures are common but lack high-level evidence. This study summarizes global literature on arteriovenous access to aid specialists in managing these vascular procedures.

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Area of Science:

  • Vascular Surgery
  • Nephrology
  • Evidence-Based Medicine

Background:

  • Hemodialysis access procedures are the most frequent vascular operations performed by general and vascular surgeons.
  • There is a significant lack of high-level (Level 1) evidence in the medical literature regarding these common procedures.
  • Existing randomized controlled trials are often limited in scope and sample size compared to other vascular surgery domains.

Purpose of the Study:

  • To consolidate and present the existing global literature on arteriovenous access procedures.
  • To provide a valuable resource for surgeons and specialists managing patients requiring hemodialysis access.
  • To address the paucity of comprehensive evidence in this critical area of surgical practice.

Main Methods:

  • Systematic review and summarization of the world's published literature on arteriovenous access.
  • Data compilation and presentation in a structured table format.
  • Focus on evidence relevant to clinical management of hemodialysis access.

Main Results:

  • A comprehensive summary of global literature findings on arteriovenous access is presented.
  • The results are organized into tables for easy reference and clinical application.
  • Identified limitations in the existing evidence base for common hemodialysis access procedures.

Conclusions:

  • Arteriovenous access procedures, despite their frequency, are supported by limited high-quality evidence.
  • The summarized literature serves as a practical tool for clinicians managing hemodialysis access.
  • Further research with robust methodologies is needed to strengthen the evidence base for these vital interventions.