HAEMODIALYSIS NEEDS ACCESS TO BLOOD. RIGHT DECISION LEADS TO ADEQUATE THERAPY

 TO DO A DIALYSIS, YOU NEED VASCULAR ACCESS



Vascular access for dialysis describes the means through which blood is withdrawn for dialysis and returned to the body. In Nigeria, commonest access at initiation of dialysis is femoral vein and peripheral veins. This is not the ideal dialysis access because of the complications associated with it. It is common because most Nigerians needing dialysis present late to health facility and with uraemic emergency, hence needing urgent dialysis.

Another type of vascular access is neck catheters. These can be temporary or permanent. The Permanent neck catheter can be inserted in some facilities across Nigeria where the skill exist, such as ours. It is one catheter with double lumen for withdrawal and return of blood during dialysis. It is safe, long lasting, easy to insert with or without ultrasound guidance. The cost ranges N80,000 to N150,000 in most facilities in Southeast Nigeria. The complication with this is temporary discomfort and the possibility of infection, which is significantly reduces if septic procedures are observed each time of dialysis.

The next and best type of vascular access is AV fistula. Here, an artery is surgically inserted partially inside a vein on the fore arm or arm. Due to the force of blood in the artery, the vein becomes thicker and larger and can tolerate repeated punctures of needles for dialysis. After creation, it takes about 6 weeks to mature. Complication is blockage, heart failure & blood diversion syndrome.

Beatitudes Dialysis Center 

26 Ezeogbulafor street

Umuahia


St Paul's Hospital Umungasi Aba

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