 Involves

  • July 2020
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 Involves

shunting the patient’s blood from the body through a machine in which diffusion, osmosis and ultrafiltration occur and back into the patient’s circulation

 Access

to patient’s blood  Requirements to transport the blood to and from the dialyzer  Dialyzer where exchange of fluid, electrolytes and waste products occur

A. External Arterio-venous cannula or shunt  Teflon cannla tips are placed in an artery (usually radial / posterior tibial ) and nearby vein. These cannula tips are connected by a silicone rubber tubing and a teflon bridge to complete the sunt.  It has 9 months life span due to clotting and infection

B. Internal arterio-venous fistula    

Anastomosing an artery directly to a veoin (usually radial artery and cephalic vein at the wrist) Blood is shunted from the artery to the vein causing the vein to enlarge (ripening) after a few weeks. Average life is 4 years; circumvented problems of infection, clotting and possible hemorrhage Disadvantages are painful venipuncture, formation of aneurysms, achieving hemostasis post dialysis and ischemia of the hand.



A hemodialysis unit's dialysate solution tanks

 Hemodialysis

machine

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