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Franco RP, Costa CBS, Sousa CS, Rodrigues AT, Neves PDMDM, Chula DC. Hemodialysis Vascular access maintenance in the Covid-19 pandemic: Positioning paper from the Interventional Nephrology Committee of the Brazilian Society of Nephrology. ACTA ACUST UNITED AC 2020; 42:41-43. [PMID: 32877498 PMCID: PMC7479985 DOI: 10.1590/2175-8239-jbn-2020-s110] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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.
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Affiliation(s)
| | - Ciro Bruno Silveira Costa
- Clínica TRS, Nefrologia e Hemodiálise, Goiânia, Goiás, Brazil.,Hospital de Acidentados, Goiânia, Goiás, Brasil
| | | | - Anderson Tavares Rodrigues
- Pró-Renal Centro de Nefrologia, Barbacena, MG, Brasil.,Fundação José Bonifácio Lafayette de Andrada, Faculdade de Medicina de Barbacena, Barbacena, MG, Brazil
| | - Precil Diego Miranda de Menezes Neves
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Divisão de Nefrologia, São Paulo, SP, Brazil.,Hospital Alemão Oswaldo Cruz, Centro Especializado em Nefrologia e Diálise, São Paulo, SP, Brazil
| | - Domingos Candiota Chula
- Fundação Pró-Renal, Centro de Nefrologia Intervencionista, Curitiba, PR, Brazil.,Universidade Federal do Paraná, Hospital de Clínicas, Curitiba, PR, Brazil
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Suassuna JHR, de Lima EQ, Rocha E, Castro A, Burdmann EDA, do Carmo LPDF, Yu L, Ibrahim MY, Betônico GN, Cuvello AL, Ávila MON, Gonçalves ARR, Costa CBS, Bresolin NL, de Abreu AP, Lobo SMA, do Nascimento MM. Technical note and clinical instructions for Acute Kidney Injury (AKI) in patients with Covid-19: Brazilian Society of Nephrology and Brazilian Association of Intensive Care Medicine. J Bras Nefrol 2020; 42:22-31. [PMID: 32877495 PMCID: PMC7479984 DOI: 10.1590/2175-8239-jbn-2020-s107] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
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.
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Affiliation(s)
| | | | - Eduardo Rocha
- Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil
| | - Alan Castro
- Complexo Hospitalar de Niterói, Niterói, RJ, Brasil
| | | | | | - Luis Yu
- Universidade de São Paulo, São Paulo, SP, Brasil
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