Vascular Access in Hemodialysis: the 2006 KDOQI ... - Network 6

CPR [recommendations] 5-95CPR 5:• when to “mark the fistula” that is difficult to cannulate• teaching patients to monitor their own fistula patencyCPR 7: catheter dysfunction/catheter maintenance• radiologic evaluation and intervention; sheath stripping• choice and use of thrombolytics,• catheter maintenance in the patient with limited access options• use of endoluminal brushes• Managing infection: when to use adjunctive antibiotics forsalvage; use of prophylactic AMLsResearch:3. Cannulation and Access Care.• Additional studies on disinfectants, role of antibiotic locksand which patients may benefit most from CVC salvage.• Risk benefit outcomes as well as long term antibioticsusceptibility studies to detect resistance with ABLs• Does the bevel up cannulation method decrease accesscomplications? RCT• Can increased remuneration for expert cannulators lead tobetter access outcomes?