The Japanese Journal of Clinical Dialysis Vol.35 No.9(11)

Theme Reconsideration of standard hemodialysis: What is the optimal prescription and management for each patient?
Title Safety management technology in dialysis to ensure the safety of extracorporeal circulation technology
Publish Date 2019/08
Author Toshihiko Yamaka Department of Clinical Engineering, Faculty of Engineering, Kanagawa Institute of Technology
[ Summary ] Based on the past three surveys by the Japanese Association of Dialysis Physicians, the frequency of serious accidents does not tend to decrease. In particular, removal of indwelling needles, which is essential for extracorporeal circulation, is increasing.
An accident in which the needles are pulled out from the vasculature may cause air to enter the blood circuit, as well as bleeding. For this reason, it is preferable to fix the blood circuit and indwelling needle with wide MEDICAL ADHESIVE TAPE that can achieve a strong fixing force.
A serious problem in extracorporeal circulation is the infrequent occurrence, which results in the delay in rapid treatment. We must be prepared to take prompt and appropriate action by simulating the events and coping strategies that may occur.
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