How do you prepare for dialysis access management? [Dr. Spinowitz]

Q: How do you prepare for dialysis access management? Is there anything you need to do prior to the procedure?

A: There is not much preparation for the outpatient procedures that we perform here at Queens Endovascular Center. Most importantly, the patient will require approximately six hours before the procedure of no eating. The reason why we do not want the patient to eat for approximately six hours prior to coming for the procedure is that we want to provide anesthesia for the patient. The type of anesthesia that we perform here is conscious sedation; we give Fentanyl and Versed. Fentanyl is a pain reliever, and Versed is an anxiolytic.

We want the patient to be relaxed. We are not going to knock the patient out completely because this is an outpatient procedure and the procedures that we perform generally do not require heavy sedation. We would rather perform the procedures in a safe manner, where the patient can get up post-operatively after 20-30 minutes of observation and go on about their day.

If the patient will require a hemodialysis procedure, whether it’s a catheter insertion for the hemodialysis catheter, or fistula or graft creation or maintenance, the patient will not require any IV (Intravenous therapy). If the patient will be coming for a peritoneal dialysis catheter, because there is no access to the patient’s circulation, the patient will require an IV to receive these medications.

More videos from the interview with Dr. Spinowitz of the Queens Endovascular Center as he explains the different modes of Dialysis Access Management:

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