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Sensing Savvy

Hemodialysis Arteriovenous Fistula or Graft? Here's What to Know

Posted by Susan Eymann, MS on May 13, 2019

A vascular access is required in order to have hemodialysis. The three most common types of vascular access are: an arteriovenous fistula (AVF) created by joining a vein and an artery, usually in the arm; an arteriovenous graft (AVG) formed by connecting an artery to a vein with a tube, or a central venous catheter (CVC). Optimally, a fistula or graft will be surgically created several months before dialysis starts, in order to ensure it is ready when it is needed. 

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Topics: CABG Surgery, Hemodialysis

Surgical Checklists Updates: 4 New Risk Areas from the ACS

Posted by Tim Callahan on Jan 29, 2019

It’s been 10 years since the World Health Organization (WHO) released its surgical care checklist tools to help improve outcomes and decrease postoperative mortality rate. Now, the checklists are receiving a few updates.

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Topics: CABG Surgery

An Alternative Natural Vascular Access Graft

Posted by Susan Eymann, MS on Jan 16, 2019

A working vascular access is the lifeline for a hemodialysis patient. It is also an Achilles heel, for when it fails, another access (frequently a catheter) must be quickly placed for life preserving hemodialysis to continue. While an arteriovenous fistula (a natural conduit connecting an artery and a vein) is the preferred vascular access, expanded polytetrafluoroethylene (ePTFE) synthetic grafts are frequently used as the second choice for a vascular access, before placing a catheter.

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Topics: CABG Surgery, Hemodialysis

Controlling Life Threatening Bleeds (LTB) from Arteriovenous Fistulas or Grafts

Posted by Deborah Brouwer-Maier RN, CNN on Jan 2, 2019

Life-threatening bleeds (LTB) from arteriovenous fistulas or grafts are significant bleeds which are not stopped by application of a normal amount of pressure as is commonly used to stop bleeding after dialysis needle removal. In many cases they occur spontaneously at home between dialysis sessions, away from the clinic or caregiving team. Although access-related LTBs are not common, they can result in the loss of the patient’s access and even be fatal.

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Topics: CABG Surgery, Hemodialysis

Our CABG Patency Assessment Program Improves Outcomes

Posted by Anna Mueller, MS on Apr 17, 2018

The Hospital Readmissions Reduction Program (HRRP) established in the Affordable Care Act has further focused hospital efforts to improve quality and patient outcomes.

In a Medicare Payment Advisory Commission (MedPAC) report to Congress, coronary artery bypass graft (CABG) surgery was ranked as having the highest potentially preventable readmission rate. Volume flow measurement provides an objective, intraoperative assessment of the quality and patency of grafts and could help prevent costly re-operations and readmissions.

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Topics: Clinical Trends, CABG Surgery

Profile of Excellence: Dr. David J. Sugarbaker

Posted by Susan Eymann, MS on Jan 2, 2018

Chief, Division of General Thoracic Surgery the Director of the Baylor College of Medicine Lung Institute at CHI St. Luke's Health–Baylor St. Luke's Medical Center in Houston, TX94th
AATS President (2013-2014)

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Topics: CABG Surgery

CMS Implements Payment Model for CABG Surgery

Posted by Susan Eymann, MS on Aug 9, 2017

The Centers for Medicare and Medicaid Services (CMS) is striving to improve the efficiency and quality of care for Medicare beneficiaries undergoing CABG surgery. CME also is seeking to elevate collaboration among hospitals, physicians and post-acute care providers to improve the coordination of care for the Medicare patient from the CABG patient’s initial hospitalization through a 90-day recovery period following hospital discharge.

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Topics: CABG Surgery

Fistulography, Intra-access Blood Flow Measurement Correlations

Posted by Deborah Brouwer-Maier RN, CNN on Jun 12, 2017

The success of percutaneous transluminal angioplasty (PTA) in stenotic hemodialysis prosthetic grafts and autogenous fistulas is traditionally assessed by the post-intervention vessel diameter of the grafts or fistulas. Interventionalists at the University of San Diego sought to compare this traditional measure of success (vessel diameter), and pre- and post-intervention real-time intra-access blood flow rates with access blood flow measured during hemodialysis.

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Topics: CABG Surgery

How Do Flow Measurements Help Cardiothoracic Surgeons?

Posted by Roger DeLong, CP, PE, MBA on Jun 5, 2017

 

“Not a day goes by when this flowmeter doesn’t solve a problem for me.” - BP Mindich, MD

During coronary artery bypass grafting (CABG), Transonic Flowmeters are used to measure the flow of blood through newly anastomosed bypass grafts.

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Topics: CABG Surgery

U.S. Tops World for Coronary Artery Bypass Surgery Cost at $75,345

Posted by Roger DeLong, CP, PE, MBA on Mar 27, 2017

The International Federation of Health Plans was founded in 1968 by a group of health insurance industry leaders, and is now the leading global network of the industry, with 80 member companies in 25 countries. Its goal is to assist in the maintenance of high ethical and professional standards throughout the industry.

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Topics: CABG Surgery

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