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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

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.

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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.

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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.”

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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.

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Topics: Hemodialysis