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10.2147/IJNRD.S275075 http://scihub22266oqcxt.onion/10.2147/IJNRD.S275075 33116756!7585817!33116756     free     free     free       Int+J+Nephrol+Renovasc+Dis 2020 ; 13 (?): 253-259 Nephropedia Template TP {{tp|p=33116756|t=2020. Inpatient Dialysis Planning During the COVID-19 Pandemic: A Single-Center Experience and Review of the Literature |pdf=|usr=}}{{33116756}} gab.com Text Inpatient Dialysis Planning During the COVID-19 Pandemic: A Single-Center Experience and Review of the Literature JO: Int J Nephrol Renovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=33116756 #FOAvip BACKGROUND: COVID-19 has created havoc in healthcare systems worldwide, including shortages in equipment and supplies for dialysis in the acute setting. METHODS: We compared our planning and experience at a tertiary care academic medical center to recommendations in the literature. RESULTS: Published literature and our experience underscored the need to plan for adequate dialysis equipment, particularly for continuous renal replacement therapy in the ICU setting, adequate nursing, and flexible scheduling of chronic patients to accommodate the surge in acute patients. We discovered other "shortages" not mentioned in the literature: shortages in the number of portable reverse osmosis (RO) machines needed to prepare dialysis water, inadequate number of rooms in units designated for COVID-19 patients with plumbing for dialysis, and lack of temperature blending valves on sinks that necessitated using cold water only, and damaging the RO membranes. We identified the need for cooperation between nephrology and critical care medicine, hospital-based and community nephrologists and community dialysis units as well as nephrologists at other hospitals in the region. We turned to guidance from the hospital ethics committee. CONCLUSION: Planning for an expected surge in hospitalized patients requiring RRT demands coordination between critical care, dialysis and nursing services as well as community and hospital providers to make certain there are adequate dialysis resources. Our experience suggests that continuous dialysis is in greatest demand early in the illness, and that plans to increase supplies should be put in place. But, planning should also focus on unforeseen hospital-specific infrastructure shortages that can develop over time and hamper intermittent dialysis delivery to all patients who require treatment. Twit Text FOAVip Inpatient Dialysis Planning During the COVID-19 Pandemic: A Single-Center Experience and Review of the Literature ????Int J Nephrol Renovasc Dis http://www.kidney.de/pget.php?&tw=1&pmid=33116756 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33116756 #FOAvip English Wikipedia <ref>{{Cite pmid|33116756}}</ref> Inpatient Dialysis Planning During the COVID-19 Pandemic: A Single-Center Experience and Review of the Literature #MMPMID33116756 Mitchell KR; Bomm A; Shea BS; Shemin D; Bayliss G Int J Nephrol Renovasc Dis 2020[]; 13 (?): 253-259 PMID33116756show ga BACKGROUND: COVID-19 has created havoc in healthcare systems worldwide, including shortages in equipment and supplies for dialysis in the acute setting. METHODS: We compared our planning and experience at a tertiary care academic medical center to recommendations in the literature. RESULTS: Published literature and our experience underscored the need to plan for adequate dialysis equipment, particularly for continuous renal replacement therapy in the ICU setting, adequate nursing, and flexible scheduling of chronic patients to accommodate the surge in acute patients. We discovered other "shortages" not mentioned in the literature: shortages in the number of portable reverse osmosis (RO) machines needed to prepare dialysis water, inadequate number of rooms in units designated for COVID-19 patients with plumbing for dialysis, and lack of temperature blending valves on sinks that necessitated using cold water only, and damaging the RO membranes. We identified the need for cooperation between nephrology and critical care medicine, hospital-based and community nephrologists and community dialysis units as well as nephrologists at other hospitals in the region. We turned to guidance from the hospital ethics committee. CONCLUSION: Planning for an expected surge in hospitalized patients requiring RRT demands coordination between critical care, dialysis and nursing services as well as community and hospital providers to make certain there are adequate dialysis resources. Our experience suggests that continuous dialysis is in greatest demand early in the illness, and that plans to increase supplies should be put in place. But, planning should also focus on unforeseen hospital-specific infrastructure shortages that can develop over time and hamper intermittent dialysis delivery to all patients who require treatment. ?Inpatient Dialysis Planning During the COVID-19 Pandemic: A Single-Cen(epmc).pdf DeepDyve Pubget Overpricing