TECHNICAL MANAGEMENT OF VASCULAR ACCESS IN PATIENTS UNDERGOING HOSPITAL HEMODIALYSIS

Authors

  • Anna Luiza Camara Ruczakowski Author

DOI:

https://doi.org/10.56238/leved.esp.v12n30-006

Keywords:

Hemodialysis, Vascular Access, Renal Replacement Therapy, Clinical Monitoring, Hospital Environment

Abstract

The technical management of vascular access in patients undergoing hospital hemodialysis constitutes a determining component for the continuity of renal replacement therapy, considering that the functionality of these devices directly interferes with dialysis treatment efficiency and clinical stability in hospitalized patients. The selection of vascular access modality should consider anatomical and clinical aspects, allowing the organization of care strategies aimed at venous preservation and the reduction of complications associated with the prolonged use of intravascular devices. Systematic monitoring of blood flow and structural integrity of vascular accesses supports the early identification of dysfunctions, contributing to the adoption of timely interventions during treatment. The implementation of practices focused on asepsis and clinical surveillance is also related to the reduction of bloodstream infections in hospital settings. The incorporation of image-guided technologies during device insertion increases procedural accuracy, preserving vascular integrity throughout hemodialysis sessions. Individualized vascular access planning allows the organization of strategies aimed at maintaining the functionality of devices used in clinical practice. This study aimed to analyze the technical management of vascular access in patients undergoing hospital hemodialysis, gathering scientific evidence to support clinical practice and promote therapeutic continuity in hospital environments.

Downloads

Download data is not yet available.

References

ALMASRI, J. et al. Outcomes of vascular access for hemodialysis: a systematic review and meta-analysis. Journal of Vascular Surgery, v. 64, n. 1, p. 236–243, 2016. DOI: https://doi.org/10.1016/j.jvs.2016.02.064.

GIL, A. C. Métodos e técnicas de pesquisa social. 7. ed. São Paulo: Atlas, 2019.

KDOQI CLINICAL PRACTICE GUIDELINE FOR VASCULAR ACCESS: 2019 update. American Journal of Kidney Diseases, v. 75, n. 4, p. S1–S164, 2020. DOI: https://doi.org/10.1053/j.ajkd.2019.12.001.

LAKATOS, E. M.; MARCONI, M. A. Fundamentos de metodologia científica. 9. ed. São Paulo: Atlas, 2021.

LOK, C. E. et al. KDOQI clinical practice guideline for vascular access: 2019 update. American Journal of Kidney Diseases, v. 75, n. 4, p. S1–S164, 2020. DOI: https://doi.org/10.1053/j.ajkd.2019.12.001.

ROETKER, N. S. et al. Vascular access type and cardiovascular outcomes in patients receiving hemodialysis. Journal of the American Heart Association, v. 11, n. 5, e024685, 2022. DOI: https://doi.org/10.1161/JAHA.121.024685.

VACHHARAJANI, T. J. Catheter-related bloodstream infections in hemodialysis patients. Seminars in Dialysis, v. 34, n. 1, p. 21–28, 2021. DOI: https://doi.org/10.1111/sdi.12933.

Published

2022-11-17

How to Cite

RUCZAKOWSKI, Anna Luiza Camara. TECHNICAL MANAGEMENT OF VASCULAR ACCESS IN PATIENTS UNDERGOING HOSPITAL HEMODIALYSIS. LUMEN ET VIRTUS, [S. l.], v. 12, n. 30, p. e12534 , 2022. DOI: 10.56238/leved.esp.v12n30-006. Disponível em: https://periodicos.newsciencepubl.com/LEV/article/view/RCZ51. Acesso em: 29 may. 2026.