Bed-side blind insertion of peritoneal dialysis catheters.
Access to the peritoneal cavity is an essential factor for successful peritoneal dialysis. The technique of catheter insertion can influence technique success and patient satisfaction. As compared to conventional surgical laparotomy, a bedside blind insertion technique under local anaesthesia has logistical advantages for the patient, the hospital and the community. This study compares outcomes of both methods in a single centre. A retrograde analysis of a prospectively collected database on all catheters implanted at the University hospital Ghent between 1/1/1998 and 31/5/2002 was carried out. During this period, catheters were implanted either by conventional laparotomy (CL) or by a bedside blind insertion technique (BI) under local anaesthesia.
Dequidt
C
C
Renal Department, UZ Ghent, Belgium.
Vijt
D
D
Veys
N
N
Van Biesen
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods* / Q000451:nursing; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D010362:Patients' Rooms; D010530:Peritoneal Dialysis / Q000009:adverse effects / Q000295:instrumentation*; D019095:Point-of-Care Systems; D016016:Proportional Hazards Models; D011446:Prospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome