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A NEW APPROACH TO HOME–BASED MAINTENANCE DIALYSIS
Author(s) -
Stewart J. H.,
NeilsfordJones Thelma,
Kerr G. J.,
Cattran D. C.,
Mani M. K.,
Storey B. G.
Publication year - 1970
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1970.tb63383.x
Subject(s) - dialysis , medicine , vascular access , home dialysis , fistula , arteriovenous fistula , intensive care medicine , loan , surgery , hemodialysis , finance , business
A programme of training patients for self‐supervised maintenance hæmodialysis in the home is outlined and illustrated by its application to three patients. The main features of the scheme are: Initiation of treatment before uræmia is too severe; Insertion of an arterio‐venous fistula, and repeated puncture of the arterialized veins for access to the circulation; dally dialysis throughout the training period of five weeks; and loan by the dialysis unit to the patient of a safe, reliable, and easily operated artificial kidney.