There is no evidence that the BT is a useful indicator of the efficacy of therapy. NKF-DOQI Clinical Practice Guidelines recommend when to place dialysis accesses prior to initiation of dialysis in ESRD, but not in regards to surgical procedures. If possible, permanent access placement should be delayed until after needed surgery given the risk of access thrombosis or infection. The Anesthesiologist and Surgeon should know where the future access will be placed in order to protect the planned access site. For patients who already have a permanent dialysis access, there is no research data to support prophylactic antibiotic use in patients undergoing procedures that may lead to bacteremia, although many authors recommend it.
Many authors recommend endocarditis prophylactic protocols as prudent care.
Rao V, Weisel RD, Buth KJ, et al. Goldman DR, Brown FH, Guarnieri DM, Perioperative Medicine. Christiansen S, Claus M, Philipp T, Reidemeister JC, Cardiac Surgery in Patients with End-Stage Renal Failure, Clinical Nephrology. De Meyer M, Wyns W, Dion R et al. Myocardial Revascularization in Patients on Renal Replacement Therapy, Clinical Nephrology.