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The local anaesthetic is given to prevent any pain or discomfort during the surgery. You may see some bright or coloured lights – this is normal.

If you have any concerns or worries before or after the procedure you can contact the access nurse or your renal consultants’ secretary.

Following the assessment, your treatment will be authorised to continue, or it may need to be altered or postponed.

Chest infection or a clot forming in the calf or lungs (deep vein thrombosis, or DVT).

If you have any worries or concerns about anything, however big or small, please speak to a member of the team.

If you are not a member or don’t know if there is a group, ask your doctor, nurse or pharmacist for information.

You will be walked or taken on a trolley to theatre. The anaesthetist will put a small needle into a vein in the back of your hand or arm.

You may feel shocked or angry, or you may feel empty.

Sometimes we may need to take a blood sample or perform other tests before your procedure or surgery.

(No patient preparation or special handling required) Adult 5ml Gold-top SST tube or 3.5ml Rust-top gel tube (Trust users only) Paediatric 1ml Serum Sample

(white flour or corn flour to thicken) White bread or rolls (no seedy bread) Potatoes – boiled or mashed (no skins) Pasta/noodles White rice Butter/margarine

Fever (> 2oC rise or ≥ 39 oC), and or chills, rigors, myalgia, nausea or vomiting and/or loin pain

Tell us if you have an allergy, or if you do not understand what your medicines are for Talk to your doctor, nurse or pharmacist about any concerns you

You or your carer will be shown, by a registered nurse, how to injection the heparin into your tummy or outer thigh.

Factor Assays (Known Haemophilia A or B)

(white flour or corn flour to thicken) White bread or rolls (no seedy bread) Potatoes – boiled or mashed (no skins) Pasta/noodles White rice Butter/margarine

Local guidance is available on the Intranet or by contacting the IPC team.

), or even having blood in the urine.

Please talk about this with your consultant or GP.

Nerve damage or epidural haematoma