Dialysis access, the lifeline that cannot wait.

Surgery for Arteriovenous fistula (AVF) at Nan-Ah Hospital by vascular surgeons.

For patients with End Stage Renal Disease (ESRD), dialysis access is vital for those who need to undergo dialysis. It should be prepared when a doctor diagnoses that the patient will require dialysis in the near future. When kidney function declines to stage 4-5, dialysis access should be prepared at least 2-3 months before starting dialysis. The top choice favored by doctors is an Arteriovenous fistula (AVF) in the arm, which can be used long-term and has a lower risk of infection.

When patients show symptoms of end-stage chronic kidney disease, such as nausea, vomiting, loss of appetite, and weight loss.

If there are complications from chronic kidney disease, such as acidosis, fluid overload, or high blood potassium levels.

In emergency cases, such as acute kidney failure, a temporary dialysis access (Double lumen) may be required immediately because this type of access can be used right after insertion. An emergency case refers to a patient whose kidneys are no

longer functioning and cannot remove waste from the body.

It is evident that planning for renal replacement therapy should be done early rather than waiting until acute kidney failure occurs, which leads to unexpectedly higher costs and additional physical pain.

Currently, end-stage kidney failure patients using NHSO rights can join the free dialysis access surgery project (the treating physician must state that the patient cannot undergo peritoneal dialysis) at no cost and without a long wait (at the fastest within 1 week and no later than 1 month).

 

 

Reference :

Nan Ah Hospital Dialysis access, the lifeline that cannot wait.

ArokaGO Providers Nan Ah Hospital