Optimal management of central venous catheters for hemodialysis.
Good medical practices for optimizing the management of central venous catheters (CVCs) can be summarized in the following ten commandments: (1) the indications of CVC use you will restrict; (2) the choice of the catheter type and site venous you will discuss; (3) an experienced operator you will choose; (4) validated protocols of use and maintenance of catheters you will respect; (5) caring and nursing staff of the dialysis unit you will train and control; (6) the patients you will educate; (7) monitoring and maintenance care of CVC you will apply; (8) the duration of CVC use you will restrict; (9) specific patient risk factors you will evaluate and correct, and (10) a continuous quality improvement care process for CVC you will establish and apply in your dialysis unit.
Canaud
Bernard
B
Lapeyronie Hospital - Nephrology, and Renal Research and Training Institute, Montpellier, France.
Chenine
Leila
L
Henriet
Delphine
D
Leray
Hélène
H
D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D010353:Patient Education as Topic; D006435:Renal Dialysis; D012307:Risk Factors; D013997:Time Factors