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Sensing Savvy

Trial Finds Transonic Surveillance Reduces Rate of Thromboses & Costs

Posted by Susan Eymann, MS on Jul 26, 2017

“I love this machine!” exclaimed Dr. Inés Aragoncillo when a slide displaying the Transonic Hemodialysis Monitor, was shown at the recent American Association of Nephrology (ASN) convention in Chicago. Dr. Aragoncillo was presenting the findings of her three-year RCT in which she and her colleagues studied the addition of ultrasound Doppler and ultrasound dilution (Transonic) surveillance to classic vascular access monitoring in their hemodialysis patients.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jul 24, 2017

Lifeline Vascular Access Names Chief Medical Officer

Lifeline Vascular Access, a subsidiary of DaVita Inc., has named Dr.

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Topics: Hemodialysis

5 Ways Huddles Can Benefit Your Dialysis Clinic

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

Football fans probably are very familiar with the concept of a team huddle and its role in a successful game. Although your dialysis clinic isn’t a football field, huddles are key to improving and sustaining quality care. Today, we’ll give a quick definition of a huddle, and look at five ways huddles can benefit your dialysis clinic.

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Topics: Hemodialysis

Kidney Care News to Know

Posted by Deborah Brouwer-Maier RN, CNN on Jul 10, 2017

DaVita Income Lower in Q1

DaVita reported income for Q1 of 2017 was 21 percent less than the same time last year. The drop in income was attributed to lower ACA enrollment among dialysis patients, an increase in wages for clinical staff and adjusted operating income for pharmacy operations.

Source: Nephrology News & Issues

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Topics: Hemodialysis

5 Simple Ways to Improve the Dialysis Patient Experience

Posted by Deborah Brouwer-Maier RN, CNN on Jul 5, 2017

Providing excellent patient care should be the top priority for all dialysis clinics. Minimizing pain, making patients comfortable, and treating them with compassion creates a respectful experience during a difficult, tedious process. But that can be easier said than done, especially if clinics have problems with leadership, staff and patient communication. If clinics don’t address issues such as lack of professionalism, low staff morale and patient safety, they risk losing patients and money. Below are five effective ways clinics can improve the dialysis patient experience.

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Topics: Hemodialysis

4 Technologies That Could Influence the Future of Kidney Care

Posted by Deborah Brouwer-Maier RN, CNN on Jul 3, 2017

What if dialysis was mobile and automated? What if you could install a shunt without the chance of rejection or infection? What if we only needed patient tissue cells to procure a new, viable kidney? The future of kidney care holds all these possibilities and more due to research in stem cell, bio-tissue and genome technology. Researchers are predicting new modalities of dialysis, gene modification and stem cell-generated tissue as the next steps for a healthier life for our kidney disease patients.

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Topics: Hemodialysis

Study: Best Outcomes When AVF Flows Restricted to Median Range

Posted by Deborah Brouwer-Maier RN, CNN on Jun 28, 2017

A study published in PLOS ONE in March 2017 by clinicians from Huazhong University of Science and Technology in Hubei, China, investigated the association between AVF flows and inflammation, cardiovascular events and deaths in Chinese hemodialysis patients who have a radio-cephalic fistula (AVF). They recognized that AVF flows impact dialysis adequacy in hemodialysis patients. But there was limited data for different access flow levels on outcomes related to long-term dialysis Chinese patients.

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Topics: Hemodialysis, Cardiovascular

Rule of Sixes Key to Successful HD Cannulation

Posted by Deborah Brouwer-Maier RN, CNN on Jun 26, 2017

The KDOQI Work Group and Dr. Michelle L. Robbin from the University of Alabama at Birmingham, offer valuable guidelines for successful hemodialysis cannulation of fistulas in end-stage-renal-disease (ESRD) patients. It is recommended that a 4 mm or greater vessel diameter and flow of 500 mL/min or greater is needed to support successful hd cannulation and dialysis blood flow rates. Ultrasound is not needed for cannulation. Also suggested is the following Rule of Sixes:

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Topics: Hemodialysis

Endovascular Catheter Is Valuable for Measuring Access Flow

Posted by Deborah Brouwer-Maier RN, CNN on Jun 14, 2017

Dr. Lymaris GarcÌa-Medina and colleagues from the Universitario Reina Sofia General Hospital in Murcia, Spain analyzed the flow values measured by the Transonic ReoCath® Flow Catheter to determine whether the ReoCath’s measurements were more reliable than angiographic and clinical findings for planning and determining the outcome of invasive radiologic treatments of hemodialysis fistulas.

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Topics: Hemodialysis

Is Timing a Factor In Flow Measurements Performed During Hemodialysis?

Posted by Deborah Brouwer-Maier RN, CNN on Jun 7, 2017

NKF-KDOQI guidelines recommend that the vascular access flow assessment be performed during the first 90 minutes of hemodialysis to eliminate error caused by decrease in cardiac output or blood pressure related to ultrafiltration and/or hypotension. This measurement time restriction to within the first 90 minutes limits the number of measurements that can be performed by one operator, which is a significant issue in clinical practice.

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Topics: Hemodialysis

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