2016 Volume 49 Issue 10 Pages 633-636
We report our activities training doctors on vascular access procedures at International University Hospital in Cambodia through a program facilitated by Ubiquitous Blood Purification International, an NPO that provides medical support to developing countries in the field of dialysis medicine. Six doctors from Japan have been involved in the education of medical personnel at IU, and we have collectively visited Cambodia about 15 times in the 6-year period since 2010. In these visits, we have performed many operations, including 42 for arteriovenous fistula, one arteriovenous graft, and one percutaneous transluminal angioplasty. Stable development and management of vascular access is increasingly required in Cambodia due to increased use of dialysis therapy, and training of doctors in this technique is urgently required. However, we have encountered several difficulties that need to be addressed, including 1) the situation of personnel receiving this training, 2) problems with facilities, including medical equipment and drugs, 3) financial limitations, and 4) problems with management of vascular access.
