How to monitor vascular access in our hospital.
BACKGROUND
The number of dialysis patients in Japan has amounted to approximately 310,000. Most of the patients undergo hemodialysis. The reason why they can undergo hemodialysis is because maintaining and managing vascular access (VA) has improved. Recently, thanks to the progress of medical equipment, a variety of monitoring systems have been developed. It is important to make good use of these monitoring systems.


RESULTS
In our hospital, we have been monitoring with an ultrasonic device and HD02. We measure blood flow of brachial artery with an ultrasonic device during nondialysis treatment. We examine real blood flow and blood recirculation with HD02 and evaluate the function of VA during dialysis.


CONCLUSIONS
In order to provide good dialysis care, good use of monitoring devices of VA is significant.
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Tomonari
T
Ogawa
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Akihiko
A
Matsuda
Division of ME Service, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Yuki
Y
Kanayama
Division of ME Service, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Yusuke
Y
Sasaki
Division of Nurses, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Etsuko
E
Harada
Division of Nurses, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Atsuko
A
Tanabe
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Kunihiko
K
Yasuda
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Yoshimi
Y
Okada
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Tatsuro
T
Sano
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Tota
T
Kiba
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Taisuke
T
Shimizu
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Yosuke
Y
Tayama
Department of Nephrology and Blood Purification, Saitama Medical Center, Saitama Medical University, Saitama - Japan.
Hajime
H
Hasegawa
D001166:Arteriovenous Shunt, Surgical / Q000009:adverse effects; D001783:Blood Flow Velocity; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002302:Cardiac Output; D004867:Equipment Design; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology; D006761:Hospitals; D006801:Humans; D007201:Indicator Dilution Techniques / Q000295:instrumentation; D007564:Japan; D008991:Monitoring, Physiologic / Q000295:instrumentation; D011237:Predictive Value of Tests; D012039:Regional Blood Flow; D006435:Renal Dialysis; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography; D014654:Vascular Patency