Outpatient vascular access surgery: impact of a dialysis unit-based surgical facility.
The present report describes a novel approach to vascular access surgery based on the philosophy that a readily available operating room, staffed by nurses familiar with the unique problems of dialysis patients and their therapy, would reduce dialysis delays and maintain the quality of surgical care. Based on a 28-month experience with more than 1,000 access cases, we conclude that a traditional surgical setting is not necessary for either quality access graft placement or the management of access complications.
Didlake
R
R
Department of Surgery, University of Mississippi School of Medicine, Jackson 39216.
Curry
E
E
Rigdon
E E
EE
Raju
S
S
Bower
J
J
D000367:Age Factors; D000368:Aged; D000556:Ambulatory Surgical Procedures; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D006436:Hemodialysis Units, Hospital; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation