Safety of bedside placement of tunneled dialysis catheter in COVID-19 patients

Hanane, Tarik; Lane, James; Mireles-Cabodevila, Eduardo; Reddy, Anita; Taliercio, Jonathan J.; Vachharajani, Tushar J.

doi:10.1177/1129729820976269

Cited by 5 publications

(3 citation statements)

References 24 publications

(25 reference statements)

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“…A standard practice in the US is to replace the NTDC after <7-10 days to minimize the risk of blood stream infection. We (24) and others (22,25) have earlier proposed to place a TDC at the earliest possible opportunity to preserve central veins and possibly reduce the risk of blood stream infection. The early TDC placement in the ICU approach offers several short term and long term benefits.…”

Section: Thdc For Intensive Care Unit (Icu) Patientsmentioning

confidence: 99%

“…The early transition strategy to TDC can facilitate ICU care and transition of care to a regular nursing floor or discharge from the hospital, if the patient remains dialysis dependent. We have reported our experience of placing TDCs safely at bedside in the critical care unit patients using anatomical landmarks and under ultrasound guidance without using fluoroscopy (24). Our initiative to place TDCs and not NTDCs was driven by prior studies reporting similarly low peri-procedural complications, but higher overall complications (mechanical and positive cultures) in patients with NTDCs (relative risk 13.6) (26).…”

Section: Thdc For Intensive Care Unit (Icu) Patientsmentioning

confidence: 99%

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Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Sharma¹,

Wei²,

Thompson³

et al. 2023

Cardiovasc Diagn Ther

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Hemodialysis remains the most frequently chosen kidney replacement modality across the world. A well-functioning dialysis vascular access is critical to providing successful dialysis therapy. Despite its drawbacks, central venous catheter is commonly used as a vascular access to initiate hemodialysis therapy in acute and chronic settings. The growing recognition of providing patient centric care and per recommendations from the recently published Kidney Disease Outcome Quality Initiative (KDOQI) Vascular Access Guidelines, selecting the appropriate patient population for a central venous catheter placement involves implementing the End Stage Kidney Disease (ESKD) Life-Plan strategy. The current review examines the circumstances and challenges that increasingly lead to the hemodialysis catheter being the default and the only available choice for patients. The current review outlines the clinical scenarios for selecting an appropriate patient for hemodialysis catheter use for short-term or long-term needs. The review further discusses clinical pointers to assist with the decision-making process on estimation on prospective catheter length selection, particularly in the intensive care unit setting without the aid of conventional fluoroscopic guidance. A hierarchy of conventional and non-conventional access sites is proposed based on KDOQI guidance and multi-disciplinary author experience. Non-conventional sites are reviewed, including complications and technical guidance, for trans-lumbar IVC, trans-hepatic, trans-renal, and other exotic sites.

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Section: Thdc For Intensive Care Unit (Icu) Patientsmentioning

confidence: 99%

Section: Thdc For Intensive Care Unit (Icu) Patientsmentioning

confidence: 99%

Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Sharma¹,

Wei²,

Thompson³

et al. 2023

Cardiovasc Diagn Ther

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show abstract

“…TDC placement under direct fluoroscopy remains the standard of care; but in certain patients, placement of tunneled dialysis catheter at the bedside using anatomic landmarks with ultrasound without fluoroscopy can be safely and successfully performed without compromising the quality of care, conserving resources, and decreasing personnel exposure and avoiding exposure during transfer/transportation of COVID-19 infected patients outside the ICU. 7 , 8 We conducted a survey to assess the dialysis access focused challenges encountered by the global community and report our findings here.…”

Section: Introductionmentioning

confidence: 99%

Global challenges with providing vascular access care during COVID era

et al. 2022

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Background: The COVID-19 pandemic has adversely affected health care systems and dialysis access care in the US and across the globe. Beyond the initial challenges posed by the pandemic and despite the actions taken by health care leaders/organizations/professional societies such as the “Maintaining Lifelines for ESKD Patients” joint statement, there continues to be delays in providing timely care and performing elective and emergent dialysis access procedures worldwide. The aim of this study was to assess the global challenges associated with providing dialysis vascular access care across the international vascular access community during the pandemic. Methods: The American Society of Diagnostic and Interventional Nephrology (ASDIN) conducted an online survey in 2021, that was administered to an expert panel of dialysis vascular access specialists and global leaders spanning across the international community. The respondents who are members of ASDIN, Association of Vascular Access and InTerventionAl Renal physicians (AVATAR), Asia Pacific Society of Dialysis Access (APSDA), Peruvian Vascular Access Society (APDAV), and Australia/New Zealand Society of Interventional Nephrology (ANZSIN) reported their experiences in the care of dialysis vascular access, practice patterns, and challenges faced during the COVID pandemic. Results: Of the 53 individual surveys sent, 16 were opened and 11 (69%) responses were received from across the world and from different practice settings. The survey revealed the continued challenges facing the international community, the stark disparities in care delivery, supply chain disruption and logistical, regulatory, and financial issues that the global community continues to face in the ongoing pandemic. Conclusions: The COVID19 pandemic is far from over, and the challenges and barriers to providing dialysis access care seen on the initial ASDIN survey in the US seem to extend across the globe. We describe those results and discuss options, opportunities, and innovative tools to provide dialysis and access care during these trying times.

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Bedside Tunneled Catheter Placement in the Emergency Department

Ostroff

Connolly

2022

Ultrasound Guided Vascular Access

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Safety of bedside placement of tunneled dialysis catheter in COVID-19 patients

Cited by 5 publications

References 24 publications

Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Placing an appropriate tunneled dialysis catheter in an appropriate patient including the nonconventional sites

Global challenges with providing vascular access care during COVID era

Bedside Tunneled Catheter Placement in the Emergency Department

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