[abstract]RECOGNITION AND TREATMENT OF ARTERIAL AIR EMBOLI BY DIALYSIS CLINICIANS

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[abstract]RECOGNITION AND TREATMENT OF ARTERIAL AIR EMBOLI BY DIALYSIS CLINICIANS

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Title: [abstract]RECOGNITION AND TREATMENT OF ARTERIAL AIR EMBOLI BY DIALYSIS CLINICIANS
Author: Chin W; Miya J; Yang K; Talati N; Sprau S; Ivanir K
Abstract: Introduction/Background: The Department of Health and Human Services reported in 2008 that about 548,000 U.S. residents were being treated for end-stage renal disease. 64% underwent in-center hemodialysis as treatment. Air emboli occurrence during routine hemo-dialysis is potentially fatal and although rare, the increased prevalence of end-stage renal disease heightens the probability of occurrence. Hyperbaric oxygen treatment (HBO2T) is currently the only effective treatment for arterial gas embolism (AGE). A survey was conducted to observe whether dialysis medical centers can effectively recognize AGE and appropriately make an HBO2T referral. Materials and methods: A list of 68 dialysis centers in Los Angeles County was compiled, and 22 centers participated in the survey. The survey was designed to determine whether dialysis centers were able to recognize symptoms of air emboli in patients and provide sufficient treatment. Questions included prevalence of AGE occurrences at each center, medical staff ability to recognize the signs and symptoms of AGE and staff knowledge of HBO2T as an effective treatment for AGE. Result: The survey was completed by allied health. No centers surveyed had previous experience with cases of air emboli in patients. Eleven centers stated they did not know of HBO2T as an effective treatment for air embolisms. Six of the 11 centers were not able to recognize signs or symptoms of air embolism. Summary/Conclusion: The survey suggests that dialysis center staff are generally inexperienced with cases of dialysis-related air emboli. About one-third of the centers surveyed did not have regular staff able to recognize signs and symptoms of air emboli, and one-half of the centers were unaware of HBO2T as an effective treatment. The survey emphasizes the need to educate dialysis center clinicians about recognizing signs and symptoms of an air embolism and providing patients with sufficient treatment to minimize risk to patient’s health.
Description: Undersea and Hyperbaric Medicine : Journal of the Undersea and Hyperbaric Medical Society, Inc.
URI: http://archive.rubicon-foundation.org/10561
Date: 2012

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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