Techniques and tips for quick and safe temporary catheter placement.
Nephrologists have to place temporary dialysis catheters for hemodialysis in emergency situations. Since there is a dearth of literature on this subject, the authors have written guidelines for the safe and successful placement of these catheters. These instructions should be of help to nephrology trainees who want to master the art of central venous line placement. Based on their experience, the authors have provided a number of tips and techniques for temporary catheter placement in the femoral, internal jugular, and subclavian veins, with and without ultrasound guidance. Patient positioning, preparation of the catheter insertion tray, handling of ultrasound probe, cannulation of the central veins, and guide wire and dilator insertion are described in detail. These guidelines should assist the novice in placing temporary catheters with ease and with minimal complications.
Pervez
Aslam
A
Southwest Kidney Institute, Phoenix, Arizona and Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA. apervez@swkidney.com
Abreo
Kenneth
K
D002404:Catheterization / Q000379:methods*; D004630:Emergencies; D005268:Femoral Vein; D006801:Humans; D007601:Jugular Veins; D017410:Practice Guidelines as Topic; D006435:Renal Dialysis; D012449:Safety; D018084:Ultrasonography, Interventional