Document Detail

Vascular access for continuous renal replacement therapy.
MedLine Citation:
PMID:  19426415     Owner:  NLM     Status:  MEDLINE    
A working vascular access is essential for performing continuous renal replacement therapy (CRRT) efficiently and without interruption. Dual-lumen temporary hemodialysis catheters are the catheters of choice, although tunneled catheters can also be utilized if therapy is expected to be prolonged. Hemodialysis catheters have to be inserted under ultrasound guidance by trained personnel, using aseptic conditions. The right internal jugular vein is the preferred site. Catheter malfunction and catheter-related infections can be reduced by adhering to preventive guidelines such as ultrasound guidance for placement, strict hand hygiene, gauze dressings, and sterile techniques during catheter handling. Antibiotic or antiseptic-coated catheters and lock solutions may be beneficial in certain patients, but these are not widely used due to the concern for resistant organisms and allergic reactions.
Anitha Vijayan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in dialysis     Volume:  22     ISSN:  1525-139X     ISO Abbreviation:  Semin Dial     Publication Date:    2009 Mar-Apr
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-08-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8911629     Medline TA:  Semin Dial     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-6     Citation Subset:  IM    
Renal Division, Washington University in St. Louis, 660 S Euclid Avenue, St. Louis, MO 63110, USA.
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MeSH Terms
Arteriovenous Shunt, Surgical / methods
Catheters, Indwelling*
Femoral Vein
Kidney Failure / therapy*
Renal Replacement Therapy / methods*
Subclavian Vein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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