Vascular Access Simplified

Winner of a COMMENDED AWARD in the Urology category of the 2008 BMA Medical Book Competition. Following on from the huge success of the first edition, this is the second edition which will not only update all previous chapters but also, it will have many additional chapters to add value over and above the first edition. The need for dialysis access surgery is growing rapidly as the population of patients with endstage renal failure expands. This book is aimed at those healthcare professionals involved in the care of patients undergoing dialysis. Vascular Access Simplified gives a comprehensive review of all aspects of adult dialysis access with a specific emphasis on haemodialysis. The text highlights some of the difference in practices of physicians in Europe and the USA. The contributors are allied professionals, physicians, radiologists, vascular and transplant surgeons who have a specific interest and are all committed to improving the quality of dialysis access.

This book provides simple and practical instructions on how to perform safe and easy venous cannulation, and how to insert midlines and PICC lines using ultrasound. It aidsunderstanding of the relevant anatomy, shows how to use the ultrasound machine, and how to insert such lines using ultrasound guidance. Readers will feel confident and well prepared to deal with patients requiring difficult venous access, giving them simple solutions that can be learned very quickly. These skills will also be globally beneficial for patients and healthcare institutions alike. Follows the trends of the NHS and riding the wave of the midline/PICC line revolution Compact and affordable highly relevant to daily practice Useful for specialists and generalists alike, truly multi-disciplinary

Decision-making regarding the route of access to minimize procedural complications, especially in patients with unusual or complicated vascular anatomy, is extremely important for successful vascular access surgery. Several techniques for vascular access are widely disputed in the context of achieving optimal clinical outcomes. This book discusses various clinical aspects of vascular access to enrich our knowledge and understanding of the contemporary methodology and management of vascular access for a broad range of purposes. In four sections, this book examines the following topics: 1. Vascular Access: Methodology and Contemporary Management; 2. Vascular Access and Reparative Surgery; 3. Vascular Access Failure; and 4. Risk Stratification in Vascular Access.

Vascular and Endovascular Surgery meets the needs of surgeons in higher training and practising consultants for a contemporary and evidence-based account of this sub-specialty that is relevant to their general surgical practice. It is a practical reference source incorporating the most current information on recent developments, management issues and operative procedures. The text is thoroughly referenced and supported by evidence-based recommendations wherever possible, distinguishing between strong evidence to support a conclusion, and evidence suggesting that a recommendation can be reached on the balance of probabilities. This is a title in the Companion to Specialist Surgical Practice series whose eight volumes are an established and highly regarded source of information for the specialist general surgeon. The Companion to Specialist Surgical Practice series provides a current and concise summary of the key topics within each major surgical sub-specialty. Each volume highlights evidence-based practice both in the text and within the extensive list of references at the end of every chapter. An expanded authorship team across the series includes additional European and World experts with an increased emphasis on global practice. The contents of the series have been extensively revised in line with recently published evidence. The revision of the content reflects the continued move towards non-invasive imaging, medical therapy and endovascular techniques, culminating in a new chapter on Future Developments. Many of the chapters reflect the collaborative nature of a modern vascular service and are co-authored by a vascular surgeon and a vascular radiologist. The authorship team has been expanded with input from vascular nursing and rehabilitation experts.

Ever since the publication of the first edition in 1997, the Companion to Specialist Surgical Practice series has met the needs of surgeons in higher training and practising consultants by providing contemporary, evidence-based information on the sub-specialist areas relevant to their general surgical practice. All eight volumes are thoroughly edited and supported by evidence-based references to support key recommendations. This new Fourth Edition brings together the relevant state-of-the-art specialist information that the editors and authors consider important for the practising sub-specialist general surgeon. Purchase of a print book also includes a downloadable version of the eBook. A standardised approach is used across the series to provide up-to-date information in a way that will be consistent and familiar to the reader. Each volume gives a current and concise summary of the key topics within each major surgical sub-specialty. Each volume highlights evidence-based practice both in the text and by also identifying the key papers in the extensive list of references at the end of every chapter. This new Fourth Edition is presented in colour throughout, including colour photographs of operative procedures, investigations and clinical signs throughout. The entire contents have been comprehensively updated with particular reference to the evidence-based content of each chapter. An expanded group of authors provides an increased international dimension to the content of all volumes. Purchase of a print copy includes a downloadable version of the eBook which you can also access on your iPhone, iPod Touch or iPad. In addition the books are available for purchase as a single volume or as part of a set of all eight volumes in an elegant slipcase. The extensively revised contents are in line with recently published evidence such as the Trans-Atlantic Inter-Society Consensus (TASC) II Guidelines Reflects the continuing move towards non-invasive imaging, medical therapy and endovascular techniques Includes a new chapter on the medical treatment of chronic lower limb ischaemia A new chapter on central and peripheral access Reflecting the collaborative nature of modern vascular services many of the chapters are co-authored by a vascular surgeon and a vascular radiologist.

This book offers a comprehensive overview of up-to-date knowledge on vascular access surgery. Written by a senior author with more than 30 years of experience and by expert contributors, it covers both surgical and theoretical aspects. The author shares his expertise in a hands-on approach and presents his views on the difficulties that every clinician may encounter. The various options for vascular access creation are carefully reviewed. Detailed descriptions and numerous accompanying illustrations of AV fistulas, AV prosthetic grafts, and arterio arterial grafts are provided, and a chapter is also devoted to the use of central venous catheters. Potential complications and their management are explained, and advice is offered on how to deal with special patient groups requiring extra attention. Separate chapters on fluid dynamics (drawing on the author’s own research) and vascular pathology cater for the needs of those with a particular interest in the pathophysiological principles.

This book analyses the latest advancements in the very important topic of vascular access in haemodialysis patients. Dialysis patients are a continuously growing population all over the world. Long-lasting and well-functioning vascular access is a life-line for these patients. Therefore, successful creation and appropriate management of vascular access is of the utmost importance. This book comprehensively reviews the different and most important issues related to vascular access management. It has 33 chapters discussing a wide variety of the most important topics including: principles of access creation in adults, paediatric and geriatric populations; types of anaesthesia; central venous catheters; early cannulation and hybrid vascular grafts; possible complications and principles of their management; quality of life in dialysis patients; etc. It consists of a review as well as original articles pertaining to the subject matter. The book also describes rare forms of arterio-venous accesses, last resort dialysis accesses, and life-saving approaches for the most challenging patients. All of the authors are experts in the field. They represent 16 different countries across the world, making this book especially unique. The chapters are well-illustrated, making them easy to read. We hope that this book will offer the most contemporary and useful information for specialists involved in haemodialysis therapy.

Dialysis Access: A Multidisciplinary Approach gives radiologists, nephrologists, and surgeons the complete knowledge base they need to deliver effective, coordinated care to dialysis patients with vascular access needs. This practical guide explains how to implement the National Kidney Foundation's Dialysis Outcomes Quality Initiative (DOQI) guidelines for vascular access and details procedures for creating vascular access...monitoring access failure...treating blocked access...and inserting and using catheters. Dr. Gray is the lead author for the Society of Cardiovascular and Interventional Radiology (SCVIR)'s Dialysis Access Reporting Standards. International contributors are expert interventional radiologists, nephrologists, and vascular access surgeons. Dialysis Access: A Multidisciplinary Approach fully integrates these specialties' perspectives.