ABSTRACT
ABSTRACT We produced this document to bring pertinent information to the practice of nephrology, as regards to the renal involvement with COVID-19, the management of acute kidney injury cases, and practical guidance on the provision of dialysis support.As information on COVID-19 evolves at a pace never before seen in medical science, these recommendations, although based on recent scientific evidence, refer to the present moment. The guidelines may be updated when published data and other relevant information become available. RESUMO Este documento foi desenvolvido para trazer informações pertinentes à prática nefrológica em relação ao conhecimento sobre o acometimento renal da COVID-19, conduta frente aos casos de injúria renal aguda e orientações práticas sobre a provisão do suporte dialítico.Como as informações sobre a COVID-19 evoluem a uma velocidade jamais vista na ciência médica, as orientações apresentadas, embora baseadas em evidências científicas recentes, referem-se ao momento presente. Essas orientaços poderão ser atualizadas à medida que dados publicados e outras informações relevantes venham a ser disponibilizadas.
ABSTRACT
ABSTRACT Vascular accesses for hemodialysis are considered the patient's lifeline and their maintenance is essential for treatment continuity. Following the example of institutions in other countries affected by the Covid-19 pandemic, the Brazilian Society of Nephrology developed these guidelines for healthcare services, elaborating on the importance of carrying out procedures for the preparation and preservation of vascular accesses. Creating definitive accesses for hemodialysis, grafts and arteriovenous fistulas are non-elective procedures, as well as the transition from the use of non-tunneled catheters to tunneled catheters, which cause less morbidity. In the case of patients with suspected or confirmed coronavirus infection, one may postpone the procedures for the quarantine period, to avoid spreading the disease. RESUMO Os acessos vasculares para hemodiálise são considerados a linha da vida do paciente, e sua manutenção é essencial para o seguimento do tratamento. A exemplo de instituições de outros países atingidos pela pandemia da Covid-19, a Sociedade Brasileira de Nefrologia elaborou estas orientações para os serviços de saúde, esclarecendo a importância da realização dos procedimentos de confecção e preservação de acessos vasculares. Consideramos como não eletivos os procedimentos de confecção de acessos definitivos para hemodiálise, próteses e fístulas arteriovenosas, bem como a transição do uso de cateteres não tunelizados para cateteres tunelizados, os quais acarretam menor morbidade. Nos casos de pacientes com infecção suspeita ou confirmada por coronavírus, é aceitável o adiamento dos procedimentos pelo período de quarentena, para evitar disseminação da doença.
ABSTRACT
Vascular accesses for hemodialysis are considered the patient's lifeline and their maintenance is essential for treatment continuity. Following the example of institutions in other countries affected by the Covid-19 pandemic, the Brazilian Society of Nephrology developed these guidelines for healthcare services, elaborating on the importance of carrying out procedures for the preparation and preservation of vascular accesses. Creating definitive accesses for hemodialysis, grafts and arteriovenous fistulas are non-elective procedures, as well as the transition from the use of non-tunneled catheters to tunneled catheters, which cause less morbidity. In the case of patients with suspected or confirmed coronavirus infection, one may postpone the procedures for the quarantine period, to avoid spreading the disease.
Subject(s)
Arteriovenous Shunt, Surgical/methods , Betacoronavirus , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Renal Dialysis/methods , Vascular Access Devices , Advisory Committees , Arteriovenous Shunt, Surgical/standards , Brazil , COVID-19 , Elective Surgical Procedures/methods , Elective Surgical Procedures/standards , Emergencies , Humans , Nephrology/standards , Pandemics , SARS-CoV-2 , Societies, MedicalABSTRACT
We produced this document to bring pertinent information to the practice of nephrology, as regards to the renal involvement with COVID-19, the management of acute kidney injury cases, and practical guidance on the provision of dialysis support.As information on COVID-19 evolves at a pace never before seen in medical science, these recommendations, although based on recent scientific evidence, refer to the present moment. The guidelines may be updated when published data and other relevant information become available.