The importance of reducing blood loss from any source in patients on regular dialysis treatment is generally recognised. This minimises blood transfusion requirements, and the consequent risks of serum hepatitis. Blood loss occurring from Scribner shunts and arteriovenous fistulae during routine dialysis has been measured. The blood loss from this source has been estimated as 1 to 2 litres per annum, and this may exceed the loss due to residual blood trapped in coil dialysers. The risks to the patients and staff due to this source of blood loss are emphasised.
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