Mrs Ancy Poonattu Varghese1
1Metro South Health Care, Loganlea , Australia
Biography:
Ancy has been a dedicated Registered Nurse over a decade. Ancy’s career is defined by a commitment to versatile care, having worked across aged care, community and palliative care, as well as acute medical and renal wards.Specialising in hemodialysis and renal, has balanced high-tech clinical intervention with a compassionate, person-centered approach. To complement her extensive experience, she earned a Graduate Diploma in Infection Control and a Master of Nursing, specialising in Chronic Disease. This unique academic and clinical blend allows her to provide expert insights into the complexities of aging, infection prevention, and the management of long-term health conditions.
Abstract:
Introduction
Vascular access is predominantly described as the “lifeline” for dialysis patients. However, the impact of comorbidity burden associated with vascular access among dialysis patients are increasing. Maintaining functional access has become a significant clinical challenge with infections, multiple procedures for treating stenosis, and reoccurrence of stenosis. Hospitalization related to Complex vascular access and patients been palliated due to exhausted vascular access is a real burden on dialysis patients as well as the hospital.
Background
The prevalence of end stage renal disease is increasing at an exponential rate and so as the prevalence of access issues like Central Venous Stenosis and exhausted peripheral vasculature. Patients often undergo multiple salvage procedures, leading to a cycle of hospitalizations, increased healthcare costs, and diminished quality of life. Dependance on central vascular access, remains high, despite their association with superior vena cava syndrome and life-threatening infections.
Aim
This study aims to quantify the clinical and economic burden associated with complex vascular access, focusing on the frequency of interventions, rates of catheter dependence, and mortality related to the complex access and its impact on patient outcome and hospital.
Conclusion
Complex vascular access represents a looming crisis in nephrology. There is an urgent need to identify the issue, promote access to surveillance, and greater utilisation of hybrid endovascular techniques. Early identification of high-risk patients and proactive multidisciplinary planning are essential to reduce morbidity and ensure the long-term posibility of renal replacement therapy.