The risk of sedation/analgesia in hemodialysis patients undergoing interventional procedures.

Abstract:

:Data derived from a large cohort of hemodialysis patients (12,896) undergoing dialysis access maintenance procedures being performed by interventional nephrologists were analyzed to determine the safety of sedation/analgesia (S/A) in a freestanding facility. Data collected included patient demographics, procedures performed, time of procedures, drugs used, doses used, and complications that occurred. Four high-risk groups were identified based upon age, pulmonary status, and over all physical status. These were compared to the total cohort. Midazolam, fentanyl, or a combination of the two were used. Within the total cohort of patients, midazolam alone was used most commonly (94.7%). The total mean dose of midazolam when used alone was 3.4 mg. The dosages used in the high-risk groups tended to be only slightly lower (3-3.2 mg). This setting appears to be safe for hemodialysis patients, even those in high-risk subgroups having these types of procedures. The types of drugs and the dosages that are commonly used do not appear to be associated with an unacceptable risk to the hemodialysis patient. A nephrologist that is not specialty trained in anesthesia is able to provide S/A safely in a freestanding facility.

journal_name

Semin Dial

journal_title

Seminars in dialysis

authors

Beathard GA,Urbanes A,Litchfield T,Weinstein A

doi

10.1111/j.1525-139X.2011.00844.x

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

97-103

issue

1

eissn

0894-0959

issn

1525-139X

journal_volume

24

pub_type

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