BLOOD CIRCUIT FOR HEMODIALYSIS by Dr. Jigar Shrimali

  The blood circuit begins at the vascular access to pump the blood from vascular access to the dialyzer and blood is returned from the dialyzer back to vascular access. The inflow (arterial) blood line connects the vascular access to the dialyzer, and the outflow (venous) blood line runs from the dialyzer back to the […]

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FEMORAL PERMCATH INSERTION: IMPORTANCE OF ANATOMICAL LANDMARK AND INTERVENTIONAL NEPHROLOGY by Dr JIGAR SHRIMALI AND Dr MILAN JOLAPARA

FEMORAL PERMCATH INSERTION: IMPORTANCE OF ANATOMICAL LANDMARK AND INTERVENTIONAL NEPHROLOGY by Dr JIGAR SHRIMALI & Dr MILAN JOLAPARA 61-year-old male, k/c/o DM, HTN, IHD (S/P CABG), CKD Stage 5D admitted with history of multiple AVF failure (Left Radiocephaic, Left Brachiocephalic, Right Radiocephaic, Right Brachiocephalic). He had a history of left sided permcath insertion in the […]

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Quiz on Basics of Nephrology by Dr. Hardik Patel at Dialysis Update 2018

Which of the following practices helps to build a patient’s immunity to Hepatitis B? A.Isolation. B.Decontamination. C.Vaccination. D.AntIoxidents. Ans 1. Option 3 Hepatitis B vaccination stimulates immune system so it protects body from future infection, for better immune response vaccination should be done in early stage of CKD. CKD patient requires extra and double dose […]

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CASE REPORT OF DIALYZER REPROCESSING RELATED ISSUES

During routine rounds in hemodialysis, we found purple discoloration of  tubings in 2 patients in the same shift. Patient 1: 24-year-old male k/c/o IgA Nephropathy, CKD on MHD (twice a week) through left sided radiocephalic AV fistula since last 2 years. Patient 2: 60-year-old female k/c/o DM, CKD on MHD (twice a week) through left […]

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Case Report of New Onset Seizures During Dialysis: An approach For Dialysis Disequilibrium Syndrome by Dr. Vipul Gattani & Dr. Siddhi Sane.

Abstract A 15-year-old female presented with uremic symptoms and stunted growth, diagnosed to have Chronic Kidney Disease (Stage V) and started on Hemodialysis. She had an episode of generalized seizures during initial dialysis sessions. The seizures were attributed to Dialysis Disequilibrium Syndrome (DDS) after invalidating the other causes and seizure activity was controlled by high […]

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