HeRO ® graft care and intubation

How about HeRO implanted grafts and insert the ePTFE graft fast animation.

HeRO (hemodialysis reliable outflow) graft is a kind of subcutaneous completely by the surgeons implanted devices, can provide continuous flow directly from the arteries to the center vein system.HeRO is classified as vascular transplantation prosthetic graft by the FDA, and as the traditional upper arm grafts is intubation.Follow the KDOQI guidelines for intubation.

Assessment before intubation

seeFor uniform graft in the upper arm, no irregular or aneurysm formation.

Listen to theUsed in low tones, diastole and contraction flow continuously.Without venous anastomosis, HeRO Graft noise may be more soft.

feelingPleasure.Its strongest in anastomotic artery, but in the entire process of transplant, can feel it.HeRO Graft should be easy to compress;However, please note that due to cancelled the vein anastomosis, HeRO Graft stimulus may not be so prominent.

Do not for intubation HERO GRAFT vein outflow components.
In order to reduce potential infection, HERO in successful transplant tube catheter intubation immediately after removing the bridge.

KDOQI transplant tube guidelines:

• All intubation aseptic technique should be adopted
• Grafts are usually placed should not at least two weeks after intubation
• Swelling should has receded so that she can touch grafting process
• Need to rotating parts to avoid the formation of pseudoaneurysms intubation

HERO GRAFT to note:

• Grafts can be used to light a tourniquet slightly expansion
• From the connector incision insert 3 inches (8 cm) of casing, to avoid damaging transplantation
• Follow the dialysis unit agreement, understanding of artery anastomosis intubation
• If the anastomosis intubation of incision, at least to keep the length of the fistula needle with incision site
• Avoid using hemostatic fistula

Identify the HERO GRAFT patients:

HeRO Graft patients usually have three incision site:

• Vein incision site is usually close to the neck
• Connector parts usually close to the shoulder
• Artery anastomosis site is usually near the elbow or axillary

After implantation of patients will also gain a HeRO Graft patient identification card.

Used for fistula or graft rescue HeRO grafts of nursing and intubation

* if the AVF mature or merge the AVG.According to your agreement for the dialysis of care and intubation.