Document Detail

Assessment of a two-needle technique for the measurement of recirculation during hemodialysis.
MedLine Citation:
PMID:  2063859     Owner:  NLM     Status:  MEDLINE    
The definitive measurement of recirculation in a hemodialysis vascular access for hemodialysis requires a peripheral vein blood sample. A two-needle method that avoids this venipuncture by using an "arterial" line sample from the access under low-flow conditions has been recommended. However, this technique has never been assessed in patients with significant levels of recirculation. We compared this low-flow arterial (LFA) technique to the standard method of measuring recirculation in 15 consecutive patients with more than 15% recirculation (mean, 27.6%). We found that recirculation by this two-needle technique averaged 15.2% and that the technique was insufficiently sensitive to be of value in clinical practice.
R A Sherman; S S Levy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of kidney diseases : the official journal of the National Kidney Foundation     Volume:  18     ISSN:  0272-6386     ISO Abbreviation:  Am. J. Kidney Dis.     Publication Date:  1991 Jul 
Date Detail:
Created Date:  1991-08-08     Completed Date:  1991-08-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  80-3     Citation Subset:  IM    
Department of Medicine UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
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MeSH Terms
Arm / blood supply*
Arteriovenous Shunt, Surgical*
Blood Specimen Collection / methods*
Regional Blood Flow
Renal Dialysis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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