[Evaluation of urea recirculation and dialysis efficiency of central venous jugular catheters when the venous lumen is used as an arterial lumen].
BACKGROUND
The dual lumen internal jugular venous catheter has proven to be the most useful temporary vascular access for hemodialysis. According to this evidence it was decided to evaluate urea recirculation rate during hemodialysis performed by dual lumen internal jugular catheter (IJC) under normal condition (R1) and when the arterial lumen of the catheter is used as venous lumen, and the venous lumen as arterial lumen (R2).


METHODS
In 71 patients who underwent hemodialysis using a dual lumen IJC, urea recirculation rate was measured during a conventional bicarbonate hemodialysis, under normal condition R1 and during the experimental condition R2.


RESULTS
Urea recirculation rate < 5% was achieved for almost all patients under normal condition R1. In the different condition R2, urea recirculation rate increased in all patients, from an average value of 3.7 +/- 1.7 to 5.1 +/- 1.8 p < 0.0001. This increment was expected ut surprisingly low.


CONCLUSIONS
In conclusion during hemodialysis with dual lumen IJC efficient treatment can be provided in normal condition and also when the venous lumen is used as arterial lumen.
Dionisio
P
P
Servizio di Nefrologia e Dialisi, Ospedale degli Infermi, Biella.
Valenti
M
M
Bergia
R
R
Caramello
E
E
Berto
M I
MI
Cravero
R
R
Agostini
B
B
Vallero
A
A
Bajardi
P
P
D058186:Acute Kidney Injury / Q000378:metabolism / Q000628:therapy; D000368:Aged; D001158:Arteries; D002404:Catheterization; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004867:Equipment Design; D005069:Evaluation Studies as Topic; D005260:Female; D015312:Hemodialysis Solutions / Q000493:pharmacokinetics; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D014508:Urea / Q000378:metabolism; D014680:Veins
D015312:Hemodialysis Solutions; D014508:Urea
Valutazione del ricircolo dell'urea ed efficacia dialitica del catetere giugulare venoso centrale quando il lume venoso è utilizzato come lume arterioso.