Patient Safety in Dialysis Access
Not only are dialysis access creation and maintenance prone to complications, but patients suffering from end-stage renal disease and its comorbidities generally have a high risk of adverse events during their continuous treatment. Preventive strategies are key to avoid harm and to improve the outcome of the treatment of the growing number of patients with chronic kidney failure, especially as doctors and nurses are not always aware of the consequences of unsafe behavior. This publication is intended for health care professionals – nurses as well as doctors – and aims to raise the awareness of patient safety aspects, combining medical education with evidence-based medicine. After a general overview of the topic, an international panel of authors provides a diversified insight into important concepts and technical tricks essential to create and maintain a functional dialysis access.
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Table of Contents
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1 - 12: Patient Safety: What Is It All about?ByDavid SchwappachDavid SchwappachSwiss Patient Safety Foundation, Zürich, and Institute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandSearch for other works by this author on:
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13 - 23: Patients with Chronic Kidney Disease: Safety Aspects in the Preoperative ManagementByMarko MalovrhMarko MalovrhDepartment of Nephrology, University Medical Center Ljubljana, Ljubljana, SloveniaSearch for other works by this author on:
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24 - 50: What Every Doctor Should Know about Drug Safety in Patients with Chronic Kidney DiseaseByMaria Paparella;Maria Paparellaa Nephrology and Dialysis Unit, Ospedale San Carlo Borromeo,Search for other works by this author on:Valentina Martina;Valentina Martinab Graduate School of Nephrology, andSearch for other works by this author on:Maria Antonietta Rizzo;Maria Antonietta Rizzob Graduate School of Nephrology, andSearch for other works by this author on:Maurizio GallieniMaurizio Gallienia Nephrology and Dialysis Unit, Ospedale San Carlo Borromeo,c Department of Biomedical and Clinical Sciences ‘L. Sacco' (DIBIC), University of Milan, Milan, ItalySearch for other works by this author on:
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51 - 58: Patient Safety in Vascular Access Patients on Hemodialysis: Contrast Agents and Renal FunctionByBruno VogtBruno VogtDepartment of Nephrology, Hypertension and Clinical Pharmacology, Inselspital, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on:
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59 - 74: Contrast Agents and Ionization with Respect to Safety for Patients and DoctorsByHendrik von Tengg-Kobligk;Hendrik von Tengg-KobligkaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;bDepartment of Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Germany;cDepartment of Radiology, Wright Medical Center of Innovation, Ohio State University, Columbus, Ohio, USASearch for other works by this author on:Levent Kara;Levent KaraaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Thorsten Klink;Thorsten KlinkaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Elham Khanicheh;Elham KhanichehaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Johannes T. Heverhagen;Johannes T. HeverhagenaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Ingrid B. BöhmIngrid B. BöhmaDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:
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75 - 86: Cardiac Safety in Vascular Access Surgery and MaintenanceByJan Malik;Jan Malika3rd Department of Internal Medicine,Search for other works by this author on:Jaroslav Kudlicka;Jaroslav Kudlickaa3rd Department of Internal Medicine,Search for other works by this author on:Vladimir Tesar;Vladimir TesarbDepartment of Nephrology, andSearch for other works by this author on:Ales LinhartAles LinhartcSecond Department of Internal Medicine, General University Hospital Prague and First Faculty of Medicine, Charles University Prague, Prague, Czech RepublicSearch for other works by this author on:
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87 - 96: Simulation in Vascular Access SurgeryByMatthias K. Widmer;Matthias K. WidmeraDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Ingemar Davidson;Ingemar DavidsonbDepartment of Surgery, Tulane University, New Orleans, La., USASearch for other works by this author on:Lukas W. Widmer;Lukas W. WidmeraDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Jürg Schmidli;Jürg SchmidliaDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Thomas R. WyssThomas R. WyssaDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:
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97 - 106: Team Training to Establish a Safety Culture in Dialysis Access SurgeryByIngemar Davidson;Ingemar DavidsonaTulane University, New Orleans, La.,Search for other works by this author on:Matthias K. Widmer;Matthias K. WidmerdDepartment of Cardiovascular Surgery, University of Bern, Bern, SwitzerlandSearch for other works by this author on:Billy Nolen;Billy NolenbFlight Safety, American Airlines, Fort Worth, Tex., andSearch for other works by this author on:John Ross;John RosscThe Regional Medical Center, Orangeburg, S.C., USA;Search for other works by this author on:Douglas P. SlakeyDouglas P. SlakeyaTulane University, New Orleans, La.,Search for other works by this author on:
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107 - 122: How to Perform Safe Anesthesia in Patients with End-Stage Renal DiseaseByChristian Seidl;Christian SeidlUniversity Department for Anesthesiology and Pain Therapy, Inselspital, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on:Balthasar EberleBalthasar EberleUniversity Department for Anesthesiology and Pain Therapy, Inselspital, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on:
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123 - 135: Careful and Safe Vascular Access CreationByThomas R. Wyss;Thomas R. WyssDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on:Matthias K. WidmerMatthias K. WidmerDepartment of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on:
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136 - 142: Improving Patient Safety in Vascular Access: A Role for Individualization and Patient PreferencesByPrabir Roy-Chaudhury;Prabir Roy-ChaudhuryDialysis Vascular Access Research Group, Division of Nephrology, University of Cincinnati and VA Medical Center, Cincinnati, Ohio, USASearch for other works by this author on:Ashish VermaAshish VermaDialysis Vascular Access Research Group, Division of Nephrology, University of Cincinnati and VA Medical Center, Cincinnati, Ohio, USASearch for other works by this author on:
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143 - 152: How to Prolong the Patency of Vascular AccessBySidney Glazer;Sidney GlazeraDivision of Vascular Surgery, Department of Surgery, University of California at Irvine, Orange, Calif., andSearch for other works by this author on:Lindsey Saint;Lindsey SaintbSection of Abdominal Organ Transplantation, Department of Surgery, Barnes Jewish Hospital, Washington University School of Medicine, Saint Louis, Mo., USASearch for other works by this author on:Surendra ShenoySurendra ShenoybSection of Abdominal Organ Transplantation, Department of Surgery, Barnes Jewish Hospital, Washington University School of Medicine, Saint Louis, Mo., USASearch for other works by this author on:
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153 - 163: Safety Issues in Surgical and Endovascular Techniques to Rescue Failing or Failed Arteriovenous Fistulas and Arteriovenous GraftsByMiltos Lazarides;Miltos LazaridesDepartment of Vascular Surgery, Democritus University Hospital, Alexandroupolis, GreeceSearch for other works by this author on:George Georgiadis;George GeorgiadisDepartment of Vascular Surgery, Democritus University Hospital, Alexandroupolis, GreeceSearch for other works by this author on:Christos ArgyriouChristos ArgyriouDepartment of Vascular Surgery, Democritus University Hospital, Alexandroupolis, GreeceSearch for other works by this author on:
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164 - 175: Vascular Access-Induced Hand Ischemia: Risks and Safe ManagementByCarmine Sessa;Carmine SessaaDepartments of Vascular and Thoracic Surgery andSearch for other works by this author on:Albéric De Lambert;Albéric De LambertaDepartments of Vascular and Thoracic Surgery andSearch for other works by this author on:Augustin Pirvu;Augustin PirvuaDepartments of Vascular and Thoracic Surgery andSearch for other works by this author on:Pedro Palacin;Pedro PalacincHemodialysis Center AGDUC Grenoble, Grenoble, FranceSearch for other works by this author on:Olivier PichotOlivier PichotbAngiology, University Hospital Grenoble, andSearch for other works by this author on:
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176 - 188: Patient Safety in Peritoneal DialysisByDouglas P. Slakey;Douglas P. SlakeyDepartment of Surgery, Tulane University Medical School, New Orleans, La., USASearch for other works by this author on:Ingemar DavidsonIngemar DavidsonDepartment of Surgery, Tulane University Medical School, New Orleans, La., USASearch for other works by this author on:
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189 - 204: Safety Aspects in Patients on Hemodialysis with CathetersByVladimír Polakovič;Vladimír PolakovičaDepartment of Internal Medicine - Strahov, General University Hospital Prague, andSearch for other works by this author on:František LopotFrantišek LopotaDepartment of Internal Medicine - Strahov, General University Hospital Prague, andbInstitute of Biophysics and Medical Informatics, First Faculty of Medicine, Charles University Prague, Prague, Czech RepublicSearch for other works by this author on:
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205 - 221: Nosocomial Infections in Dialysis AccessByAlexander Schweiger;Alexander SchweigeraDepartment of Infectious Diseases, Bern University Hospital, Bern, Switzerland;Search for other works by this author on:Sergio Trevino;Sergio TrevinobDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, Mo., USASearch for other works by this author on:Jonas MarschallJonas MarschallaDepartment of Infectious Diseases, Bern University Hospital, Bern, Switzerland;bDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, Mo., USASearch for other works by this author on:
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222 - 233: How to Improve Vascular Access CareByMagda van LoonMagda van LoonUniversity Medical Center, Maastricht, The NetherlandsSearch for other works by this author on:
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234 - 250: The Patient's Role in Patient Safety and the Importance of a Dedicated Vascular Access TeamByDavid Shemesh;David ShemeshaDepartment of Surgery and Hemodialysis Access Center andSearch for other works by this author on:Oded Olsha;Oded OlshaaDepartment of Surgery and Hemodialysis Access Center andSearch for other works by this author on:Ilya Goldin;Ilya GoldinaDepartment of Surgery and Hemodialysis Access Center andSearch for other works by this author on:Sigalit DaninSigalit DaninbHemodialysis Unit, Shaare Zedek Medical Center, Jerusalem, IsraelSearch for other works by this author on:
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251 - 263: Patient Safety in Dialysis Access: Education and ResearchByJan H.M. Tordoir;Jan H.M. TordoiraDepartment of Surgery, MUMC, Maastricht, The Netherlands;Search for other works by this author on:Matthias K. WidmerMatthias K. WidmerbDepartment of Cardiovascular Surgery, Bern University Hospital, Bern, SwitzerlandSearch for other works by this author on: