Prevalence of Access Recirculation in Prevalent Arterio-Venous (A-V) Fistula Hemodialysis Patients and Its Effect on Hemodialysis Adequacy
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 6
Abstract
<span>Background: </span><span>Assessment of access recirculation (AR) is crucial to dialysis efficiency and there is thus a need for a method yielding a highly accurate, fast, easy and economical measurement that can be applied in any dialysis clinic. Non-urea based dilutional methods are more accurate than urea based methods and avoid problems with cardiopulmonary recirculation, but they require expensive specialized devices, which limit their applicability. </span><span>Patients and Methods: </span><span>We used simple dilutional method of AR based on the determination of serum potassium [K+] in two samples. A prospective study was performed in a Dialysis Unit at El Sahel Teaching hospital, Cairo, on End stage kidney disease patients on regular Hemodialysis through a functioning Arterio-venous fistula. </span><span>Results: </span><span>Access recirculation was found in 42% of studied patients. There were Highly Significant positive correlation between access recirculation, pre / post dialysis blood urea, basal k, and parathyroid hormone level. In addition, there were highly significant negative correlation between AR, Urea reduction ratio and KT/V. </span><span>Conclusion and Recommendations: </span><span>Potassium dilution method is one of the most simple, specific, and economical way to measure access recirculation and can easily be performed in any dialysis unit. We recommend more research should be done about hemodialysis adequacy, access recirculation and how to improve it. </span>
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584211
- DOI 10.12816/ejhm.2018.9788
- Views 120
- Downloads 0
Expression of micro RNA-9 in Patients with Acute Myeloid Leukemia and its Impact on Treatment Strategy
<span>Background: </span><span>Acute myeloid leukemia (AML) is a malignant disorder of hematopoietic tissue. It is one of the most common malignancies in adults. It is characterized by its heterogeneous and complex natur...
Value of Pre-Procedural Multi-Detector Computed Tomography Angiography Prediction Outcome in Retrograde Approach Recanalization for Coronary Chronic Total Occlusion
Background: Computed tomography coronary angiography(CTCA) can be useful in procedure planning for CTO PCI by identifying factors known to influence PCI success rates, such as calcification, severe tortuosity and length...
The predictors of Gastroesophageal Reflux Disease among University students: A cross sectional study in the western region of Saudi Arabia
<strong>Background: </strong>Gastroesophageal reflux disease (GERD) is one of the most common health problems that cause a financial burden on healthcare systems worldwide. The prevalence of GERD in Saudi Arabia is stead...
Fat Embolism Syndrome Due to Fracture Right Femur: A Case Report
Fat embolism syndrome (FES) is usually associated with fractures of long bones and pelvis. Symptoms usually occurs hours to days after injury. We present a case with fat embolism syndrome due to fracture femur. Prompt...
Hyperbaric Oxygen Therapy in Plastic Surgery
<strong>Objective:</strong> In this review the literature aims to familiarize the reader with several of the more common plastic surgery problems and to review the appropriate use of HBO for each condition. Plastic surge...