Our unit will soon be performing aquapheresis for treatment of Heart Failure. It was trialed in our CCU and will be coming to the floor. I was wondering if any other non-critical care units are doing this and how it is going.
We use ultrafiltration at my hospital but not very often. Forget about peripheral access, beeps way too much. In fact it beeps a lot when hooked up to a central line as well. All the ultrafiltration central line caths are inserted at the bedside and I have seen one too many get infected. Does an excellent job of fluid removal but can be cumbersome, and it's one o those things you dread having a pt with.
The set-up is a PIA too. I'm no expert and don't see it very often but My limited experience has not given me a good opinion. Needs a little bit more tweaking.
p.s. also very expensive..........
Last edit by xokelly2 on Jan 7, '07
: Reason: one more thing........
hi, my name is terry and i live in las vegas nv. we are trying to start the aquapheresis procedure here. i am certified for the aquadex equipment. if anybody has a way to get the md's interested let me know. we are having a terrible time convincing the dr's that the procedure works. they are having a difficult time getting away from the usual treatment. leave me a message here
Last edit by sirI on Feb 6, '08
: Reason: TOS
Thank you CardiacNurse05 and tbrnbsn for posting on this. They trained all our nurses in Cardiac stepdown back in January 2008. We have the Aquadex machine and the equipment even special easy to use order sheets but so far no doctor will order it. I wondering about that IV access, when you do dialysis you use huge av grafts, fistulas or Udalls, etc. all with huge lumens. But you can do aquapheresis with what is it, an 18g??- now I even forgot what gauge it is.
Last edit by Miami NightNurse on Mar 5, '08