Placement of Temporary Double Lumen Haemodialysis Catheters: A Rural Institutional Experience
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Background: The correct placement of large-bore venous catheters plays an important role in the management of patients on haemodialysis. The aim of this study is to review the complications of temporary double lumen haemodialysis catheters inserted using landmark-guided technique at the cardiovascular and thoracic surgery department of a rural Institute. Methods: Temporary non-tunnelled double lumen haemodialysis catheters were placed in 116 patients using landmark-guided technique over an 11 month period from May 2014 to March 2015. Data collected included age, sex, indication for haemodialysis, type of vein cannulated, number of kits used, number of attempts for successful cannulation, duration of haemodialysis through the catheters, cause of removal and complications. Results: Internal jugular vein cannulation using landmark-guided technique was successful in 99% of patients. The vein was cannulated in the first attempt in 70.7% of patients. The most common complication was exit site infection seen in 12% of patients. The arterial puncture rate was 1.7%. No case of haemothorax or pneumothorax was reported. Mean duration time of haemodialysis through the catheter was 29 days. Conclusions: The placement of temporary haemodialysis catheter by an experienced operator using landmark-guided approach is a safe and reliable technique of obtaining venous access in the initial management of patients with chronic renal failure requiring haemodialysis. The complications related to catheter placement were similar to or lower than those reported in literature by various authors.
Authors and Affiliations
Amit Singh
Keywords
Related Articles
- EP ID EP211627
- DOI -
- Views 58
- Downloads 0
Dengue with Hemophagocytic Lymphohistiocytosis-Rare Presentation
A 1 and a half-year-old female child presented with fever, cough and cold since 2 weeks. Investigations revealed Dengue IgG, IgM Positive with pancytopenia and diagnosed to have HLH on bone marrow examination in view of...
A Reversal of Bony Deformities Due to Fluorosis among Children and Young Adults in Central India
The prolonged intake of water containing excess fluoride may results in the medical condition known as fluorosis. Fluorosis affects multiple organs and systems of the body and results in various clinical manifestations s...
Chitosan in Dentistry
To elaborate on the uses of chitosan in various field of dentistry. Along with its properties and mechanism of action.Chitosan is a linear polysaccharide composed of randomly distributed β-(1-4)-linked Dglucosamine (deac...
Observation on Proteinuria in Cases of Kala-Azar (Visceral Leismaniasis)
Kala-azar has been endemic in the eastarn part of india since more than a country. The Principal area affected are North Bihar, West Bengal, Assam, Tripura, Eastren U.P.& Nepal. In this study cases admitted in P.M.C.H we...
Dyslipidemia in Patients of Psoriasis
Background: Psoriasis is a common and recurrent proliferative inflammatory skin disease that has been associated with abnormal plasma lipid metabolism. The high prevalence of atherosclerosis has been reported in psoriati...