Balancing the Covid-19-motivated vascular access guidelines and patient-centred care of pre-dialysis candidates.
J Vasc Access
; 21(4): 536-538, 2020 Jul.
Article
in English
| MEDLINE | ID: covidwho-232756
ABSTRACT
The recommendations recently proposed by the European and American Vascular Societies in this new 'Covid-19' era regarding the triage of various vascular operations into urgent, emergent and programmed based on the nature of their pathology aim at reserving health care expenses and hospital staff towards managing the current unexpected worldwide pandemic to the highest possible degree. The suggestion for implementation of these changes into real-world practice, however, does not come without a cost. In particular, the recommendation for deferral of access creation in pre-dialysis patients, ethical, socio-economic and medico-legal issues arise which should be seriously taken into consideration. At the end of the day, vascular access creation is the lifeline of haemodialysis patients and the indication for surgery warrants patient-specific clinical judgement rather than 'group labelling'.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Catheterization, Central Venous
/
Arteriovenous Shunt, Surgical
/
Occupational Exposure
/
Renal Dialysis
/
Infectious Disease Transmission, Professional-to-Patient
/
Infectious Disease Transmission, Patient-to-Professional
/
Coronavirus Infections
/
Pandemics
/
Betacoronavirus
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
J Vasc Access
Journal subject:
Vascular Diseases
Year:
2020
Document Type:
Article
Affiliation country:
1129729820926860
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