OALib 期刊
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May 16, 2017Open    AccessArticle

Impact of Abnormal Serum Electrolyte Levels and Acid-Base Disorders on Clinical Outcomes among Maintenance Hemodialysis Patients

Vricksha Guttee, Yuxin Nie, Yimei Wang, Xiaoqiang Ding
There has been a notable rise in the number of patients diagnosed with chronic kidney disease (CKD) over the years across the world, with most cases subsequently leading to end-stage renal failure. Hemodialysis (HD) remains one of the main treatments for end-stage renal disease (ESRD) worldwide. Despite improvements in dialysis care, the mortality of patients with ESRD on maintenance hemodialysis is per

Apr 26, 2017Open    AccessArticle

Acute Kidney Injury and Hepatic Dysfunction

Ayman Karkar
This clinical report presents a 45-year-old female patient with acute kidney injury, hepatic dysfunction and urosepsis without past history of any illness related to urinary system. Laboratory investigations showed Hb 15.6 gm/dl, neutrophilic leukocytosis, thrombocytes 9000/mm3, ESR 90 mm/h, plasma thromboplastin time (PTT) 48 seconds (control 32 seconds), INR 2, and fibrinogen degr

Aug 22, 2016Open    AccessArticle

Hand Hygiene in Haemodialysis Units

Ayman Karkar
Healthcare-associated infections are a major risk to patient safety. Infection is the first cause of hospitalisation and the second most common cause of mortality among haemodialysis (HD) patients. HD patients, as well as the dialysis staff, are vulnerable to contracting healthcare-associated infections due to frequent and prolonged exposures to many possible contaminants in the dialysis environment. The extracorporeal nature of t

Mar 29, 2016Open    AccessArticle

Long Term Follow-Up of ABO Incompatible Kidney Transplantation—A Study from India

Rajan Ravichandran, Subramanian Kannan
Background: There is a need to do ABO incompatible kidney transplantation in a country like India where deceased donor transplantation is not common. More than 90% transplantations are done with living donors. Although short term results have been reported from 4 centers, there is paucity of data on long term follow-up of such patients. Methods: The data of 18 patients who had undergone ABO incompatible transplantation exceeding a follow-up of 12 months up to 66 months were analyzed. It was comp...

Aug 13, 2015Open    AccessArticle

Obstetrical Acute Kidney Injury: 25 Years’ Experience from Nephrology Care Unit in Pakistan

Rubina Naqvi, Ejaz Ahmed, Rashid Sheikh, Adib Rizvi
Objective: We aim to report observations from patients who developed acute kidney injury after complicated obstetrics and referred to our institution. Patients and Methods: Observational cohort of patients identified as having acute kidney injury (AKI) in obstetrical situation, at a tertiary center in Pakistan, from January 1990-December 2014. AKI was defined according to RIFLE criteria and patients fall from Risk to Loss category on arrival. On ultrasonography, all women had normal size non obs...

May 30, 2014Open    AccessArticle

Arteriovenous Fistula Complicating Transjugular Renal Biopsy

Osman Ahmed
Percutaneous renal biopsy with sonographic guidance is the standard by which renal tissue is sampled. In patients with uncorrectable coagulopathy or other contra-indication, percutaneous biopsy may not be feasible and a transvenous approach is preferred. This method limits the risk of bleeding complications as tissue is obtained endovascularly without transgression of the renal capsule. Arteriovenous fistula (AVF), a well-documented complication of percutaneous biopsy, has yet to be reported whe...