Current Technology for Dialysis and Multidisciplinary Care for patients with DKI (Diabetic Kidney Disease)

Current Technology for Dialysis and Multidisciplinary Care for patients with DKI (Diabetic Kidney Disease)
By: Blessilda S.

There are current health issues and updates related to hemodialysis and how this changes and affects the multidisciplinary approach to patient care. Healthcare professionals should be informed of these changes in order to provide quality health care.
Freestanding dialysis clinics are currently being prevalent treatment facilities for patients with acute kidney injury. These patients were known to gain access to dialysis at a hospital setting exclusively.
It is common for the medical and clinical field to constantly change and update, with ongoing revisions. This year, the Nephrology and Renal associations ensured during their annual gatherings to include more information on the transition of AKI patients from hospital treatments to outpatient dialysis centers.

Magnet Technology for Hemodialysis Patients
According to American Journal of Kidney Disease, there is a latest minimally invasive procedure utilizing radiofrequency energy instead of doing surgery for patients requiring hemodialysis access.
Mayo Clinic says “Hemodialysis prolongs life for many people, but life expectancy for people who need it is still less than that of the general population.”
Hemodialysis is a treatment for kidney disease wherein a machine is used to filter blood outside of the body. There are certain conditions or risks involved once a patient undergoes such treatment, although it varies from different patients. It is important to discuss these concerns to the dialysis team because they are experts in this subject.
Access site complication can be dangerous due to blockage, infection, or aneurysms like narrowing or ballooning of blood vessels.
The traditional method for creating surgical fistulas requires more procedures before the AV-fistula can be used. However, the new fistulas used by this magnet technology only needs limited procedures.
Information from Science Daily mentions the new study is entitled “Endovascular Proximal Forearm Arteriovenous Fistula for Hemodialysis Access: Results of the prospective, multicenter Novel Endovascular Access Trial (NEAT),” which is published by the American Journal of Kidney Disease, with Dr. Charmaine Lok as the primary researcher.
According to Dr. Lok, this new study can be a great option for patients who are looking for other methods wherein open surgery is not necessary, especially because this option is less invasive than the conventional one.
According to Science Daily, The NEAT clinical study uses a new practice of creating AV-fistula without open surgery. Flexible magnetic catheters are being inserted into an artery and vein of each patient. They also reported, “The vessels were drawn together by the magnets. A small burst of radiofrequency energy, given through the catheters, was then used to create a connection between the artery and vein, creating the AV-fistula. The catheters were then removed leaving no surgical scar. These study procedures were performed on outpatients who did not need general anesthesia.”
This new technology can provide beneficial results to AKI patients, providing a safe and quick solution to access veins and arteries for dialysis.

Diabetic Kidney Disease
Diabetic Kidney Disease is becoming a worldwide health issue, with high morbidity and mortality rate despite some pharmacologic managements and strategies being implemented. It is also associated with increased healthcare costs to patients diagnosed with it.
It has been discussed by researchers that multidisciplinary management programs includes participation of more than one allied healthcare practitioner such as nurses, pharmacists, dieticians and health educators in order to manage DKD. It is their goal to improve the quality of life of patients with DKD by preventing decline in kidney function, controlling progression of kidney diseases, and managing blood pressure.

American Journal of Kidney Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Mayo Clinic
Science Daily
Helou N, Dwyer A, Burnier M, Shaha M, Zanchi A. Multidisciplinary management of diabetic kidney disease: a systematic review protocol. JBI Database of Systematic Reviews & Implementation Reports 2014;12(7) 192 – 203

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