2013
DOI: 10.3329/bmrcb.v39i1.15807
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Factors responsible for increased percent recirculation in arterio-venous fistula among the haemodialysis patients

Abstract: Recirculation is an important issue in haemodialysis (HD) patients as increased percent recirculation causes decreased dialysis delivery of the patients. The purpose of the study was to determine the amount and factors of recirculation in those patients. The study was a cross sectional one carried in the department of Nephrology, Dhaka Medical College and Hospital during October 2010 to September 2011. A total of 118 end stage renal disease patients with arterio-venous fistula who were on HD for more than 3 mo… Show more

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Cited by 5 publications
(5 citation statements)
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“…Our results are similar to those of previous studies, where the patients’ profile was not associated with VA dysfunction. 29 Therefore, every effort should be made to follow VA independently of age or comorbidity. 30…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Our results are similar to those of previous studies, where the patients’ profile was not associated with VA dysfunction. 29 Therefore, every effort should be made to follow VA independently of age or comorbidity. 30…”
Section: Discussionmentioning
confidence: 99%
“…Our results are similar to those of previous studies, where the patients' profile was not associated with VA dysfunction. 29 Therefore, every effort should be made to follow VA independently of age or comorbidity. 30 Mean pump blood flow (Qb) in this study population was high (>400 mL/min), even in patients who had high levels of recirculation.…”
Section: Urea Recirculationmentioning
confidence: 99%
“…Several authors cited factors responsible for access recirculation which includes low blood flow through the fistula, low left ventricular ejection fraction, stenosis in the blood vessels especially in new vascular accesses due to the staff nurses' lack of familiarity with the access anatomy, and improper or misdirection of arterial and venous needle placement and close proximity between needles by HD staff during HD [31,[33][34][35][36][37].…”
Section: Discussionmentioning
confidence: 99%
“…Since arteriovenous fistula recirculation is a common occurrence in HD patients and the most common factors of recirculation are misplacement and close proximity of needles, therefore emphasis should be given on education and training of HD staffs [35]. Therefore, knowledge about the technique of cannulation specifically arterial needle placement is necessary in order to prevent complications of the vascular access, which, when present, can compromise the blood flow of the access, resulting in high access recirculation percentage.…”
Section: Discussionmentioning
confidence: 99%
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