title: Careful and safe vascular access creation.
abstract: Morbidity and mortality are significant in hemodialysis patients, and every vascular access (VA) is prone to complications - some more, some less. The risk of complications rises from arteriovenous fistulae to arteriovenous grafts and peaks in nontunneled central lines. Strategies to achieve complete evaluation of the patient and precise planning mark the start of successful VA creation. Furthermore, preoperative considerations include safety checklists, team time-out procedures, and antibiotic prophylaxis. Intraoperative technical features and postoperative aspects of documentation and surveillance schemes complete careful and safe VA creation.
authors: Department of Cardiovascular Surgery, Swiss Cardiovascular Center, Bern University Hospital, Bern, Switzerland.
authors: Thomas R
authors: TR
authors: Wyss
authors: Matthias K
authors: MK
authors: Widmer
mesh_terms: D019072:Antibiotic Prophylaxis; D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects / Q000379:methods*; D057189:Checklist; D019983:Guideline Adherence; D006801:Humans; D010353:Patient Education as Topic; D061214:Patient Safety; D011183:Postoperative Complications / Q000517:prevention & control; D006435:Renal Dialysis / Q000379:methods*; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D013530:Surgical Wound Infection / Q000517:prevention & control; D062666:Vascular Access Devices; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*