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SUCCESSFUL VASCULAR ACCESS MANAGEMENT FOR HOME HAEMODIALYSIS: A PRACTICAL APPROACH
Author(s) -
Verhallen Annemarie
Publication year - 2013
Publication title -
journal of renal care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.381
H-Index - 27
eISSN - 1755-6686
pISSN - 1755-6678
DOI - 10.1111/j.1755-6686.2013.00332.x
Subject(s) - medicine , vascular access , intensive care medicine , home hemodialysis , dialysis , hemodialysis , surgery
SUMMARY Background The literature in the field of access management in relation to home haemodialysis (HHD) was reviewed. Findings One of the greatest benefits of HHD is the possibility for high dose dialysis. There is, however, concern about its adverse effects on access survival. Furthermore, for the patients, self‐cannulation is often the biggest obstacle for HHD. Both problems might be resolved by applying a single needle dialysis technique or, in case of arterio‐venous fistulae, using the buttonhole (BH) method. As for the BH method there is one limitation—the elevated risk of life‐threatening infections. However, in none of the trials referred to in this paper, the BH method was abandoned, probably due to the implementation of successful, problem‐tackling measures. Conclusion Continued training and re‐training of staff and patients is vital to gain and maintain a wide understanding of successful vascular access management.