Physical examination of the hemodialysis arteriovenous fistula to detect early dysfunction
| Autor: | Bakhtiar M. Amin, Kenneth Abreo, Adrian P. Abreo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030232 urology & nephrology Arteriovenous fistula Physical examination 030204 cardiovascular system & hematology Palpation 03 medical and health sciences Arteriovenous Shunt Surgical 0302 clinical medicine Predictive Value of Tests Renal Dialysis medicine Humans Intensive care medicine Physical Examination Vascular Patency medicine.diagnostic_test business.industry Gold standard Graft Occlusion Vascular Auscultation medicine.disease Stenosis Early Diagnosis Treatment Outcome Regional Blood Flow Nephrology Angiography Surgery Clinical Competence Hemodialysis Patient Participation business |
| Zdroj: | The Journal of Vascular Access. 20:7-11 |
| ISSN: | 1724-6032 1129-7298 |
| DOI: | 10.1177/1129729818768183 |
| Popis: | The maintenance of vascular access patency for end-stage renal disease patients on hemodialysis is necessary for survival. Many nephrologists, nurse practitioners, and nurses have limited experience with the physical examination of the arteriovenous fistula. In this review, we define key terms used in the assessment of an arteriovenous fistula. We discuss the arteriovenous fistula physical exam, including details of inspection, palpation, and auscultation. Using these concepts, we review the abnormal findings that can assist practitioners in determining the location of a stenosis. We review the existing literature that validates physical exam findings with gold standard tests such as ultrasound and angiography. Finally, we review data supporting the value of training physicians and nurses in arteriovenous fistula physical examination. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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