Would you recommend adjusting the hemodialysis schedule for a TTS dialysis patient who is scheduled for surgery on a Monday?  

It depends on the patient. If the patient has no residual renal function, it’s prone to volume overload or hyperkalemia; such a patient would benefit from a dialysis session on Monday before surgery. If the patient is recently initiated on iHD, or has good volume control and electrolytes are f...

There is a significant chance the surgery would be cancelled for hyperkalemia. So, yes, I would definitely try to do dialysis prior to surgery, as close to it as possible.

It absolutely makes sense to metabolically optimize conditions for surgery, plus or minus volume, to mitigate the risk of complications in a patient with ESRD.

Avoid hypertension, fluid overload, excessive bleeding, and hyperkalemia by doing dialysis preceding surgery.