727-SURGERY
941-SURGERY
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- 727-787-4379
- 941-787-4379
- Fax 727-228-4542
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It seems easy enough. A patient needs dialysis. There is no permanent access placed. A dialysis catheter is placed. The patient goes home and receives dialysis as an out patient. At some point the patient gets a fever. Maybe antibiotics are given in dialysis. Regardless, the fever gets worse and the patient is taken to the emergency room where the patient is found to be septic. While this is often treated with antibiotics and the patient recovers, sepsis can lead to multisystem organ failure or death. This scenario happens all too frequently.
Catheters are commonly used in dialysis patients to bridge them to long term dialysis access. Ideally, a patient with chronic renal insufficiency should never have a dialysis catheter. These patients should be evaluated when their GFR (glomerular filtration rate) is about 25 by vascular surgeon. A vascular surgeon will determine if the patient will need access using a patient’s own vein or if some kind of alternative conduit is needed. By placing a venous access prior to a patient needing dialysis allows the access to mature so that by time dialysis is needed there is no reason to place a catheter. Artificial conduits are placed approximately a month before being needed. Patients should know their GFR and tell their doctors of any changes. Patients should make sure they see a vascular surgeon when their GFR is about 25 and keep their appointments.
Patients should prevent anyone from using their designated access site for blood pressure measurements or blood draws prior to and after access placement. This will ensure the vein is as healthy as possible and will be adequate for access. After access placement patients should avoid any tight clothing or bandages around the access site to prevent thrombosis. Most patients are able to feel a thrill in the access. This is akin to a cat purring. If a patient notices the thrill is no longer present he or she should contact a physician immediately to attempt salvage of the access site.
The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. Remember: There is no adequate substitution for a personal consultation with your physician. Neither Florida Surgical Clinic LLC, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this website.
701 Manatee Ave. W, Suite 105
Bradenton, FL 34205
Phone: 727-787-4379
Phone: 941-787-4379
Fax: 727-228-4542
Email: contactus@floridasurgicalclinic.com
Monday – Friday: 8AM – 4:30PM
Saturday – Sunday: Closed (Except on Ultrasound and Procedure Days)
Florida Surgical Clinic provides supreme vascular surgery and general surgery care to patients living in the cities of Anna Maria, Apollo Beach, Brandon, Bradenton, Bradenton Beach, Clearwater, Ellenton, Holmes Beach, Lakewood Ranch, Largo, Long Boat Key, Myakka City, North Port, Palmetto, Parrish, Pinellas Park, Riverview, Ruskin, Sarasota, St. Petersburg, Siesta Key, Sun City Center, Tampa, and Venice.
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