Evidence-based review of hemodialysis vascular access devices


#IVTEAM #Intravenous literature: Robson, J.P. Jr. (2013) A Review of Hemodialysis Vascular Access Devices: Improving Client Outcomes Through Evidence-Based Practice. Journal of Infusion Nursing. 36(6), p.404–410.


The number of clients with end-stage renal disease and acute kidney injury requiring kidney replacement therapy is at an all-time high. At the end of 2010, the number of persons in the United States with end-stage renal disease totaled 594 374. Because the majority of clients select hemodialysis, understanding best-practice techniques to prevent infection is paramount. The purpose of this article is to review best-practice recommendations for care of the 3 major vascular access devices used for hemodialysis, with a particular focus on infection prevention recommendations. Implications for infusion nurses are also discussed.

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