SavedAdd your journal

Journals / Haseki Tıp Bülteni / 2017 / Cilt: 55 - Sayı: 2

Temporary Catheter Insertions and Complications in Our Nephrology Clinic: Clinical Experience of One Year

Nefroloji Kliniğimizde Geçici Kateter Uygulamaları ve Komplikasyonları: Bir Yıllık Klinik Deneyim

Özger AKARSU
Ahmet YAVUZ
Ferhan AYTUĞ
Egemen CEBECİ
Ergun PARMAKSIZ
Meral MEŞE
Zerrin BAHÇEBAŞI BİCİK
Pages
142–145
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Early referral of patients who require hemodialysis to nephrology clinic and application of permanent vascular interventions will reduce the need for temporary catheters and complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim:­Urgent hemodialysis in patients with renal insufficiency is usually provided by catheter insertions.
📊
Key Findings & Data:Early complications of hemodialysis catheter insertions can increase morbidity and mortality.
💡
Conclusion & Impact:Early referral of patients who require hemodialysis to nephrology clinic and application of permanent vascular interventions will reduce the need for temporary catheters and complications.
🔬Design:Review & Systematic Survey
📍Scope:2012 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim:­Urgent hemodialysis in patients with renal insufficiency is usually provided by catheter insertions. Early complications of hemodialysis catheter insertions can increase morbidity and mortality. In this study, we investigated the characteristics of patients undergoing temporary hemodialysis catheter insertion in our nephrology clinic and complications. Methods:­ In this study, we reviewed the records of 151 patients in whom temporary hemodialysis catheters were inserted by the nephrologists of our clinic between August 2012 and August 2013. Demographic features, catheter insertion indications, and catheter insertion sites were assessed and complications were noted. Results:­A total of 151 patients (94 female and 57 male) were included in the study. The average age of the patients was 58.66±16.8 years (minimum: 17, maximum: 92). No complication was observed in 112 (74.2%) patients during catheter insertions. Catheter insertion was repeated in 39 (25.8%) patients for various reasons. Arterial puncture occurred in 12 (7.9%) of 151 patients who had catheter insertions for the first time. None of the patients required surgical intervention. Conclusion: Temporary catheter insertions are required in patients needing urgent hemodialysis. However, they bring along the risk for many complications. Early referral of patients who require hemodialysis to nephrology clinic and application of permanent vascular interventions will reduce the need for temporary catheters and complications.

Özet

Giriş:­ Böbrek yetmezliği olan hastalarda acil hemodiyaliz genellikle kateter takılarak sağlanmaktadır. Hemodiyaliz kateter uygulamalarının erken dönemdeki komplikasyonları morbidite ve mortaliteyi arttırabilir. Bu çalışmada kliniğimizde uyguladığımız geçici hemodiyaliz kateter olgularının özelliklerini ve komplikasyonlarını inceledik.Yöntemler: Çalışmamızda 2012 Ağustos-2013 Ağustos tarihleri arasında kliniğimiz nefrologları tarafından geçici hemodiyaliz kateteri takılmış olan 151 olgu incelendi. Hastaların demografik özellikleri, kateter takılma endikasyonları, kateter takılma yerleri değerlendirildi, komplikasyonlar kaydedildi. Bulgular: Doksan dördü kadın, 57'si erkek, toplam 151 hasta çalışmaya dahil edildi. Hastaların yaş ortalaması 58,66±16,8 (minimum: 17, maksimum: 92) idi. Kateter takılması sırasında 112 hastada (%74,2) herhangi bir komplikasyon gözlemlenmedi. Otuz dokuz hastada (%25,8) çeşitli nedenlerle tekrar kateter uygulaması yapıldı. İlk defa kateter takılan 151 hastanın 12'sinde (%7,9) arter ponksiyonu gelişti. Cerrahi girişim gerektiren hasta olmadı.Sonuç:­ Acil hemodiyaliz gereksiniminden dolayı geçici kateter uygulamaları gereklidir. Ancak pek çok komplikasyon riskini beraberinde getirir. Hemodiyaliz gereken hastaların erken dönemde nefrolojiye yönlendirilmesi ve kalıcı vasküler girişimlerin uygulanması geçici kateter gereksinimini ve komplikasyonları azaltacaktır.

🔖

Cite This Article

AKARSU, Ö., YAVUZ, A., AYTUĞ, F., CEBECİ, E., PARMAKSIZ, E., MEŞE, M., BİCİK, Z. B. (2017). Temporary Catheter Insertions and Complications in Our Nephrology Clinic: Clinical Experience of One Year. Haseki Tıp Bülteni, Cilt: 55 - Sayı: 2, 142–145. https://ajindex.com/articles/204844

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Centers for Disease Control and Prevention (CDC). Vital signs: central line associated blood stream infections-United States, 2001, 2008, and 2009. MMWR Morb Mortal Wkly Rep 2011;60:243-8
  2. Vats HS. Complications of catheters: tunneled and nontunneled. Adv Chronic Kidney Dis 2012;19:188-94
  3. Albers F. Causes of hemodialysis Access failure. Adv Ren Replace Ther 1994;1:107-18
  4. Tordoir J, Canaud B, Haage P, et al. EBPG on Vascular Access. Nephrol Dial Transplant 2007;22 (Suppl 2):ii88-117
  5. Rayner HC, Pisoni RL, Gillespie BW, et al; Dialysis Outcomes and Practice Patterns Study. Creation, cannulation and survival of arteriovenous fistulae: data from the Dialysis Outcomes and Practice Patterns Study. Kidney Int 2003;63:323-30
  6. Rayner HC, Besarab A, Brown WW, Disney A, Saito A, Pisoni RL. Vascular access results from the Dialysis Outcomes and Practice Patterns Study (DOPPS): Performance against Kidney Disease Outcomes Quality Initiative (K/DOQI) Clinical Practice Guidelines. Am J Kidney Dis 2004;44(5 Suppl 2):22-6
  7. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney inter., Suppl. 2012;2:1-138
  8. Bansal R, Agarwal SK, Tiwari SC, Dash SC. A prospective randomized study to compare ultrasound-guided with nonultrasoundguided double lumen internal jugular catheter insertion as a temporary hemodialysis access. Ren Fail 2005;27:561-4
  9. Maecken T, Grau T. Ultrasound imaging in vascular access. Crit Care Med 2007;35(5 Suppl):S178-85
  10. MacRae JM, Ahmed A, Johnson N, Levin A, Kiaii M. Central vein stenosis: A common problem in patients on hemodialysis. ASAIO J 2005;51:77-81
  11. Clark EG, Barsuk JH. Temporary hemodialysis catheters: recent advances. Kidney Int 2014;86:888-95
  12. Mickley V. Central venous catheters: many questions, few answers. Nephrol Dial Transplant 2002;17:1368-73
  13. Droll KP, Lossing AG. Carotid-Jugular arteriovenoz fistula: Case report of an iatrogenic complication following internal jugular vein catheterization. J Clin Anesth 2004;16:127-9
  14. Alat İ, Akpınar MB, Taşkapan H, ve ark. Diyaliz amaçlı kateter uygulamalarımız ve sonuçları. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2004;3:159-64
  15. Aydın Z, Öztürk S, Gürsu M, ve ark. Hemodiyaliz Hastalarında Damar Giriş Yolu Olarak Kateter Kullanımı: Tek Merkez Deneyimi. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi 2010;19:46-51.