Vascular Access: Improving Outcomes for Haemodialysis Patients

Although it is widely accepted that vascular access is of paramount importance in the delivery of high-quality haemodialysis (HD) care, obtaining and maintaining access can be time-consuming and resource intensive. The data supporting definitive vascular

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Practical Nephrology

123

Practical Nephrology

Mark Harber Editor

Practical Nephrology

Editor Mark Harber, MBBS, PhD, FRCP UCL Department of Nephrology Royal Free London NHS Foundation Trust Hampstead London UK

This book contains electronic supplementary material which is available on Springer Images http://www.springerimages.com/. In addition, the Resources for Patients and Carers and, Physicians appendix can be downloaded from Extra Materials http://extras.springer.com/ ISBN 978-1-4471-5546-1 ISBN 978-1-4471-5547-8 DOI 10.1007/978-1-4471-5547-8 Springer London Heidelberg New York Dordrecht

(eBook)

Library of Congress Control Number: 2014936595 © Springer-Verlag London 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Preface

Nephrology is a fascinating, complex speciality that will keep most of us challenged, entertained and stretched until retirement beckons. Beyond the complexity of the subject, there are particular challenges facing nephrologists including an aging patient base, often with significant comorbidities, transient populations with chronic disease and often fragmented care. The global pandemic of chronic kidney disease and frequently superimposed acute kidney injury presents us with some very challenging practical, ethical and financi