Keterangan
Vascular access is a critical component of hemodialysis, playing a pivotal role in the effectiveness of renal care. This webinar offers an essential introduction to the intricacies of vascular access in hemodialysis, providing a comprehensive overview of various access types, selection criteria, and optimal maintenance practices. Join us for an insightful exploration of key considerations, expert insights, and practical strategies aimed at enhancing patient outcomes. Whether you're a healthcare professional or someone seeking to deepen their understanding, this webinar promises valuable insights into the fundamental aspects of vascular access in the context of hemodialysis.
Ringkasan
- The discussion centers on vascular access for hemodialysis, emphasizing the arteriovenous (AV) fistula as the preferred and "gold standard" access. An AV fistula is a surgically created connection between an artery and a vein, typically in the forearm, allowing for higher blood flow rates necessary for effective dialysis. Maturation of the AV fistula, usually requiring 6-8 weeks, is crucial, and success is assessed using the "rule of six": vein diameter >6mm, depth 600ml/min.
- The arteriovenous (AV) graft serves as an alternative when AV fistula creation isn't feasible due to small or weak veins. Grafts, either straight or looped, are constructed from synthetic or biological materials. While grafts can be used sooner after placement than fistulas, they carry a higher risk of infection and thrombosis.
- Hemodialysis catheters, temporary or tunneled (perm cath), offer immediate access for dialysis, especially in acute kidney injury situations. Common insertion sites include the internal jugular, subclavian, and femoral veins. Catheters pose significant risks of infection, arhythmias, and thrombosis and need strict sterile techniques during insertion and care to avoid complications.
- Various complications associated with vascular access were discussed, encompassing hematoma, infection, arterial puncture, arhythmias, nerve injury, venous thrombosis, and pulmonary embolism. Strategies for preventing such complications include ultrasound-guided insertion, strict adherence to aseptic techniques, and careful monitoring of the access site for signs of infection or dysfunction. The selection of vascular access type depends on individual patient factors.
Contoh Sertifikat
Tentang Pembicara
Dr Haisam Abdulkader
Assistant Professor of Nephrology Yenepoya Medical College
Komentar
Komentar
Anda harus login untuk meninggalkan komentar.