This 124-page volume was written by two experienced British surgeons who have organized their extensive practical knowledge into ten well-planned chapters. The first three chapters outline the history of vascular access for hemodialysis and offer practical suggestions on planning for acute or chronic access, including methods of anesthesia. The middle four chapters provide the important information on the various kinds of access methods: external shunts, internal fistulas, internal grafts, and subclavian catheters. The next two chapters describe the special considerations relevant to children, followed by a small amount of physiologic data concerning blood flow and coagulation. The final chapter discusses the essential techniques and major complications of chronic peritoneal dialysis. An appendix provides manufacturers' names and addresses, in England and the United States, where dialysis access equipment can be obtained.
Although the length of the book has been carefully restricted, it nevertheless manages to include most of the pertinent clinical