| Vascular access for continuous renal replacement therapy. | |
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MedLine Citation:
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PMID: 19426415 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Anitha Vijayan |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Seminars in dialysis Volume: 22 ISSN: 1525-139X ISO Abbreviation: Semin Dial Publication Date: 2009 Mar-Apr |
Date Detail:
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Created Date: 2009-05-11 Completed Date: 2009-08-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8911629 Medline TA: Semin Dial Country: United States |
Other Details:
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Languages: eng Pagination: 133-6 Citation Subset: IM |
Affiliation:
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Renal Division, Washington University in St. Louis, 660 S Euclid Avenue, St. Louis, MO 63110, USA. avijayan@wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Arteriovenous Shunt, Surgical
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methods Catheters, Indwelling* Femoral Vein Humans 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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