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Dialysis Access

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Acute

What is Dialysis Access?

Your hemodialysis access, or vascular access, is a way to reach your blood for hemodialysis. The access allows your blood to travel through soft tubes to the dialysis machine where it is cleaned as it passes through a special filter, called a dialyzer.

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  • Swelling in the arms or legs.
  • Decreased blood pressure.
  • Fatigue.
  • Heart failure.
  • Swelling along with a reddish appearance on the skin surface.
  • Purplish, bulging veins that you can see through your skin, similar to varicose veins.
  • Infection
  • Neuropathy
  • Heart failure
  • Coronary steal
  • Venous hypertension
  • Aneurysm
  • Pseudoaneurysm
  • Stenosis
  • Thrombosis

Arteriovenous fistulas may be present at birth (congenital) or they may occur later in life (acquired). Causes of arteriovenous fistulas include: Injuries that pierce the skin. An arteriovenous fistula may result from a gunshot or stab wound that occurs on a part of the body where a vein and artery are side by side.

When compared to non-AVFT, our data showed that the significant risk factors were AVG (pooled OR = 6.28, 95% CI = 1.79–22.02, p = 0.004, I2 = 87%), age (pooled OR = 1.06, 95% CI = 1.00–1.13, p = 0.05, I2 = 98%), female sex (pooled OR = 2.62, 95% CI = 2.56–2.69, p < 0.00001, I2 = 0%), C-reactive protein (pooled OR)

  • Protect your access site. Reduce stress and injury by avoiding undue pressure on your access arm.
  • Practice good hygiene. Always wash your hands before touching your access site—and make sure others do too.
  • Inspect for infection.
  • Listen to your lifeline.
  • Feel the flow.

How is it diagnosed?

How is it diagnosed?

In order to be treated with dialysis, physicians must establish a connection between the dialysis equipment and the patient's bloodstream. Dialysis access surgery creates the vascular opening so a needle can be inserted for hemodialysis or an abdominal catheter inserted for peritoneal dialysis.

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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

As a hemodialysis patient, your access is one of the following: Fistula: an access made by joining an artery and vein in your arm. Graft: an access made by using a piece of soft tube to join an artery and vein in your arm. Catheter: a soft tube that is placed in a large vein, usually in your neck.

 

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    RIICO Institutional Area, Sitapura, Tonk Road, Jaipur - 302 022 (Rajasthan) INDIA

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