<img height="1" width="1" style="display:none" src="https://www.facebook.com/tr?id=875423625897521&amp;ev=PageView&amp;noscript=1">

Sensing Savvy

Deborah Brouwer-Maier RN, CNN

Deborah Brouwer-Maier is a nephrology nurse for more than 30 years. Her area of expertise is hemodialysis vascular access. She served on the KDOQI Vascular Access Work Groups in 1997, 2000 and 2006. She also served in various volunteer roles for the Fistula Frist Initiates since the formation of the initial Work Group. She is the support for the Hemodialysis Circle of Care Transonic products to support access creation, surveillance and preservation.

Recent Posts

Interview: Ferruh Artunc on His Abstract from Kidney Week 2016

Posted by Deborah Brouwer-Maier RN, CNN on Nov 29, 2016 7:00:00 AM

The Transonic team spoke with professor Ferruh Artunc on the abstract he presented at Kidney Week 2016. Artunc’s abstract is the first study to show a prognostic significance of measuring hemodynamic parameters in HD patients. See what he had to say about it as well as the high cardiovascular death rates among hemodialysis patients below.

Read More

Topics: Hemodialysis

Trial Evaluates Impact of Access Blood Flow Surveillance on Reduction of Thrombosis in Arteriovenous Fistulas

Posted by Deborah Brouwer-Maier RN, CNN on Nov 28, 2016 7:00:00 AM

Clinicians from the Hospital Infanta Sofía, Madrid, Spain, undertook a three-year follow-up multicenter, prospective, open-label, controlled RCT to determine the impact of access blood flow surveillance in AV fistulas.

The group acknowledged at the outset that surveillance remains controversial because randomized RCTs failed to consistently demonstrate the benefits of flow-based surveillance even though vascular access clinical guidelines recommend monitoring and surveillance protocols to prevent vascular access thrombosis.

Read More

Topics: Hemodialysis

Pediatric Vascular Access Surveillance Examined at Boston Children's Hospital

Posted by Deborah Brouwer-Maier RN, CNN on Nov 23, 2016 6:30:00 AM

Pediatric nephrologists at Boston's prestigious Children's Hospital recognized that an arteriovenous (AV) access is the preferred vascular access for dialysis delivery in children and adolescents requiring chronic hemodialysis (HD). They also understood that, because of the small size of the accesses, maintenance of an access after it is created becomes all the more important and difficult.

Ultrasound dilution (UD) monitoring of AV access flow is widely used in adult HD units for early stenosis detection, but its experience in pediatrics is limited. Therefore, the Boston group they undertook a study to examine its usefulness in children and adolescents.

Read More

Topics: Clinical Trends, Hemodialysis

Italian Nephrologists Evaluate Arteriovenous Fistula Flow and Cardiac Output in Hemodialysis Patients

Posted by Deborah Brouwer-Maier RN, CNN on Nov 21, 2016 7:00:00 AM

Carlo Basile and colleagues from hospitals in Manduria, Italy, were among the first to recognize the relationship between vascular access flow of arteriovenous fistulas (AVFs) and cardiac output (CO). In 2008 they conducted a study to glean better insight into this rarely explored aspect of HD pathophysiology.

Read More

Topics: Hemodialysis

The Cardiovascular Effects of Arteriovenous Fistulas: A Cause for Concern?

Posted by Deborah Brouwer-Maier RN, CNN on Nov 16, 2016 6:30:00 AM

Jennifer MacRae and her colleagues from the University of Calgary, Calgary, Alberta, Canada, reviewed the hemodynamic and cardiovascular consequences of arteriovenous fistulas. Their findings were published in a 2006 paper in Seminars in Dialysis.

MacRae identified three periods when the presence of an AV fistula influences a patient's hemodynamics.

Read More

Topics: Clinical Trends, Hemodialysis

Kidney Care News to Know for November

Posted by Deborah Brouwer-Maier RN, CNN on Nov 2, 2016 6:30:00 AM

Lower Mortality and Dialysis Patients

Researchers found a fistula attempt could be a “surrogate marker for a healthy patient who has had good care prior to starting dialysis,” while catheters were preferred for patients who had a short life expectancy, an acute kidney injury or poor blood vessels.

The researchers also discovered that excess mortality rates in dialysis patients with catheters do not appear to be due to access-related complications but rather the result of “residual confounding, unmeasured comorbidity, or treatment selection bias.”

Read More

Topics: Hemodialysis

Kidney Care News to Know from September

Posted by Deborah Brouwer-Maier RN, CNN on Oct 7, 2016 7:00:00 AM

Frenovia Renal Research will be opening an office in Durham, North Carolina. The company is a subsidiary of Fresenius Medical Care North America and will also expand staff at its locations in New York, Illinois, Florida and Louisiana in addition to North Carolina.

Read More

Topics: Hemodialysis