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

Sensing Savvy

Is Access Surveillance Worthwhile?

Posted by Susan Eymann, MS on Mar 1, 2019 7:30:00 AM

Transonic ultrasound dilution technology revolutionized comprehensive vascular access patency management by enabling routine surveillance to detect decreasing access flows that presage access thrombosis failure.2-6 However, the value of vascular access surveillance continues to spark a spirited debate within the nephrology community with skeptics of surveillance challenging its value and proponents lauding its value.

Studies that attest to the value of vascular access surveillance coupled with early intervention, to reduce the thrombosis rate in both fistulas and grafts include the following:

Read More

Topics: KDOQI

Clinic Oversight Fails Senior Patient

Posted by Susan Eymann, MS on Feb 27, 2019 7:30:00 AM

Mary Christiensen moved to the senior citizen’s residence after her husband died. The move had been traumatic. Mary felt uprooted, having left behind friends and the home she and her husband had shared for 42 years. One constant remained from her old life. Three times a week she would be driven to a clinic for hemodialysis, as she had for the seven years when her kidneys failed. Even though the treatments drained her, she welcomed them because she would then feel better for a day or so.

Read More

Topics: KDOQI

All Surveillance Is Not the Same

Posted by Susan Eymann, MS on Feb 25, 2019 7:30:00 AM

Ultrasound indicator dilution is the current Gold Standard for measurement of vascular access recirculation and access flow;1

  • Ultrasound indicator dilution is the method of choice for monthly surveillance of vascular access grafts in adherence to NKF-K/DOQI guidelines
  • Available evidence suggests that access flow measurements are the best tests currently available to screen for access dysfunction.
  • Monthly surveillance is a cost-effective strategy.
Read More

Topics: KDOQI

Why Surveillance is Important – You Can’t Always Believe What You See

Posted by Susan Eymann, MS on Feb 22, 2019 7:30:00 AM

“The access looks good, why should I bother with surveillance?”

Through years of training and practice, nephrologists, interventional radiologists and surgeons have honed keen observation skills. Yes, we all tend to believe what we see. “A picture is worth a 1000 words,” is what we say and we certainly do think what we see is “real.” A measurement, on the other hand, is abstract, hard to get one’s mind around unless one has a reference and, even then, it is often hard to determine if it is actually within an acceptable threshold.

Read More

Topics: KDOQI

3 Factors That Influence Surveillance Outcomes

Posted by Susan Eymann, MS on Feb 20, 2019 7:30:00 AM

Transonic ultrasound dilution technology revolutionized comprehensive vascular access patency management by enabling routine surveillance to detect decreasing access flows that foreshadow access thrombosis failure. However, the value of surveillance continues to be scrutinized. In assessing the value of surveillance one must not consider surveillance alone, but in the context of the three factors that influence surveillance outcomes. They are:

Read More

Topics: KDOQI

How Dialysis Nurses can Help Hemodialysis Patients with Self Cannulation

Posted by Deborah Brouwer-Maier RN, CNN on Feb 18, 2019 7:30:00 AM

As a hemodialysis nurse, you have probably performed cannulation on hundreds of hemodialysis patients. But, did you know researchers have noted that the ideal person to do the procedure is the patient? That’s because the patient is always there for his or her hemodialysis session.

Despite the fact many patients may not have had any medical training, most can quickly achieve expert-level skill with self-cannulation, which not only makes the patient more active in his or her care and reduces the risk for complications, it also frees nursing staff up to do other pre-dialysis and dialysis tasks.

Read More

Topics: Hemodialysis

National Kidney Federation: By Renal Patients for Renal Patients

Posted by Susan Eymann, MS on Feb 13, 2019 7:30:00 AM

The National Kidney Federation (NKF) is the largest kidney patient association in the United Kingdom. The NKF entered the United Kingdom’s renal landscape in 1979 as a national organization when renal patients realized that individual Kidney Patient Associations (KPAs) needed to band together to have their voices heard in concert. While the current 69 KPAs remain both the ears and the eyes of the NKF, end-stage renal disease (ESRD) patients or their caregivers serve as the NKF’s officers, members of its executive committee and its workforce.

Read More

Topics: Hospital Administration, Hemodialysis

FDA Permits Marketing of First Catheter-Based Systems to Create Vascular Access for Hemodialysis Patients

Posted by Susan Eymann, MS on Feb 11, 2019 7:30:00 AM

On June 22nd, 2018, the U.S. Food and Drug Administration announced that it has permitted the marketing of two catheter-based devices designed to create a connection to veins and arteries in patients with chronic kidney disease who need hemodialysis.

Read More

Physician Ethical Dilemmas: 4 Interesting Stats

Posted by Anna Mueller, MS on Feb 6, 2019 7:30:00 AM

As a physician, you’ve likely faced some ethical dilemmas throughout your career. These decisions can not only have an impact on the patient’s life but yours as well. Medscape surveyed over 5,000 physicians in varying specialties to see how they felt about common ethical issues. Here is a look at four interesting statistics from that report.

Read More

Doctor-Patient Communication: How Well do Physicians Listen to Patients?

Posted by Tim Callahan on Feb 4, 2019 7:30:00 AM

Doctor-patient communication plays a big role in how compliant a patient is with treatment and  his or her outcomes. And identifying and understanding why a patient has made an appointment can encourage and make doctor-patient communication easier. However, recent research has revealed that physicians only ask patients what brings them in about 36 percent of the time, and when they do, it takes about 11 seconds for them to interrupt the patient.

Read More

Healthcare Insights to Improve Results

Sensing Savvy provides you with the  information you need to stay up to date on the latest clinical news and trends, techniques, products and more. Start advancing your outcomes. Subscribe today.

Get Articles and Insights by Email

Recent Posts

StackAdapt Pixel