I am working on establishing data regarding maximum venous pressure limits. The opinion I've received over email and verbally is that the most the venous pressure should run during treatment is about 300-340, depending to whom I speak.

Can anyone suggest any KNOWN sources of written information regarding venous pressure studies/results?

thanks

Hello,

What is your question? Maximum VP for what access? Can you be a little more specific in your question. It all depends on what access, and what BFR you are calculating.

Let me know
Carla

When you are talking about VP you have to be very careful with reaching the max, you don't want to reach the max, you want to be vigilant in that you are monitoring the vp and ap of both accesses to avoid further complications and detriment to the patient.
My unit, is very proactive in that, we monitor BFR at 200 for 10 min at the start with AP and VP. If at all the vp or ap is abnormal we use transonic dopplers on all our patients, at least x 1 month. We have seen a dramatic decrease in AVF, AVG clotting.

Dear Carla,
I am looking for a proactive unit like you have described. I see you are in New Orleans. Do you know of any other units that have well educated/trained nurses, offer choice of modality (homehemo , daily, nocturnal), clean, good asceptic, strong patient edcuation, allows food and drink, other perks?

Can you say which unit you are with? I dialyzed in a unit in New Orleans a couple of years ago and I immediately noted the staff had a higher skill level then other units I've been in. They knew the physiology behind what they were doing and could actually answer questions. This is what I want in a staff as well as a good quality unit overall. Can you give me any referals?

What other proactive measures do you take to provide the best tx and keep patients safe? I am glad to hear of a unit that does not take short cuts with patient care.