Discover and read the best of Twitter Threads about #DialysisDirector

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Hemodialysis 101: Venous Catheter Access #Nephpearls #DialysisDirector
HD Catheters: Nominal flow > 400 mL/min (actual flow 350 mL/min) can rarely be obtained and usually flow is limited to a range closer to 300 mL/min
#Nephpearls #DialysisDirector
HD Catheters: Order of preference for various sites of insertion
πŸ“Œ Optimal site is R IJ since venous pathway to the RA is relatively short and straight
πŸ“Œ Avoid SC Vein due to ⬆️ rate of insertion related complications
πŸ“Œ L IJ is not optimal
#Nephpearls #DialysisDirector
Read 12 tweets
Hemodialysis 101: AVF/ AVG
#Nephpearls #DialysisDirector
Sites for AVF creation in the upper extremity #Nephpearls #NephJC
Various configurations and sites for AVG placement #Nephpearls #DialysisDirector
Read 14 tweets
Hemodialysis 101: Apparatus
πŸ“Œ From the patient, blood is pumped via the vascular access thru an ARTERIAL blood line (INFLOW) to the dialyzer
πŸ“Œ Blood is returned to the patient from the dialyzer via a VENOUS blood line (OUTFLOW)
#Nephpearls #DialysisDirector
Redsense sensor is used to detect blood leakage at the site of potential line separation
πŸ“Œ For those who are at high risk for line separation
#Nephpearls #DialysisDirector
The VENOUS PRESSURE can be used to monitor the state of coagulation.
It is a function of:
πŸ“Œ Blood viscosity
πŸ“Œ Downstream access (needle or catheter) resistance
#Nephpearls #DialysisDirector
Read 8 tweets

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