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
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