TY - JOUR
T1 - Vascular access for continuous renal replacement therapy
AU - Vijayan, Anitha
PY - 2009/3
Y1 - 2009/3
N2 - A working vascular access is essential for performing continuous renal replacement therapy (CRRT) efficiently and without interruption. Dual-lumen temporary hemodialysis catheters are the catheters of choice, although tunneled catheters can also be utilized if therapy is expected to be prolonged. Hemodialysis catheters have to be inserted under ultrasound guidance by trained personnel, using aseptic conditions. The right internal jugular vein is the preferred site. Catheter malfunction and catheter-related infections can be reduced by adhering to preventive guidelines such as ultrasound guidance for placement, strict hand hygiene, gauze dressings, and sterile techniques during catheter handling. Antibiotic or antiseptic-coated catheters and lock solutions may be beneficial in certain patients, but these are not widely used due to the concern for resistant organisms and allergic reactions.
AB - A working vascular access is essential for performing continuous renal replacement therapy (CRRT) efficiently and without interruption. Dual-lumen temporary hemodialysis catheters are the catheters of choice, although tunneled catheters can also be utilized if therapy is expected to be prolonged. Hemodialysis catheters have to be inserted under ultrasound guidance by trained personnel, using aseptic conditions. The right internal jugular vein is the preferred site. Catheter malfunction and catheter-related infections can be reduced by adhering to preventive guidelines such as ultrasound guidance for placement, strict hand hygiene, gauze dressings, and sterile techniques during catheter handling. Antibiotic or antiseptic-coated catheters and lock solutions may be beneficial in certain patients, but these are not widely used due to the concern for resistant organisms and allergic reactions.
UR - http://www.scopus.com/inward/record.url?scp=65249175694&partnerID=8YFLogxK
U2 - 10.1111/j.1525-139X.2008.00553.x
DO - 10.1111/j.1525-139X.2008.00553.x
M3 - Article
C2 - 19426415
AN - SCOPUS:65249175694
SN - 0894-0959
VL - 22
SP - 133
EP - 136
JO - Seminars in Dialysis
JF - Seminars in Dialysis
IS - 2
ER -