MacRae Jennifer M, Oliver Matthew, Clark Edward, Dipchand Christine, Hiremath Swapnil, Kappel Joanne, Kiaii Mercedeh, Lok Charmaine, Luscombe Rick, Miller Lisa M, Moist Louise
Department of Cardiac Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada.
Can J Kidney Health Dis. 2016 Sep 27;3:2054358116669125. doi: 10.1177/2054358116669125. eCollection 2016.
When making decisions regarding vascular access creation, the clinician and vascular access team must evaluate each patient individually with consideration of life expectancy, timelines for dialysis start, risks and benefits of access creation, referral wait times, as well as the risk for access complications. The role of the multidisciplinary team in facilitating access choice is reviewed, as well as the clinical evaluation of the patient.
在做出关于建立血管通路的决策时,临床医生和血管通路团队必须对每位患者进行单独评估,要考虑预期寿命、开始透析的时间安排、建立通路的风险和益处、转诊等待时间以及通路并发症的风险。本文回顾了多学科团队在促进通路选择方面的作用以及对患者的临床评估。