The lungs in dialysis patients are liable to suffer from any disturbance in water and electrolyte balance. The difficulty in breathing is due to anatomical and physiological changes that happen without any signs and symptoms especially blocking of pulmonary vessels and small bronchi due to calcification is very common and is highly asymptomatic. To diagnose this, Pulmonary Function tests to be done to check vital capacity, defect in gas transfer and severity of lung calcification in dialysis patients regularly is highly recommended.
Tag: CVC
Intraosseous Access For Hemodialysis
Intraosseous Access is said to be vascular access obtained from the bone which functions similar to the Intravenous access because the bone marrow of long bone contains veins that ultimately drain into the vena cava and this access is said to be a non-collapsible venous access route and considered as a standard alternative to peripheral intravenous access.
Difficult Cannulation Made Easy
The majority of AVF created does not meet the "Rule of 6s" which makes it difficult to cannulate. And many AVF have prominent bruit and thrill but veins are present deep which makes it difficult to find the vein and cannulate which if not done properly might lead to access-related complications. Because of these reasons the patient has to go back for Central Venous Catheter (CVC) or Arteriovenous Graft (AVG) as their vascular access which is higher in cost and less preferred for maintenance hemodialysis due to its high complication rate compared with AVF. To avoid patients settling with CVC/AVG there are many techniques and procedure which helps make difficult cannulation easy.
LazyKidney 