Prevention and Management of Dialysis Catheter Complications in the Intensive Care Unit

被引:5
作者
Wilson, Patrick [1 ]
Lertdumrongluk, Paungpaga [1 ]
Leray-Moragues, Helene [1 ]
Chenine-Koualef, Leila [1 ]
Patrier, Laure [1 ]
Canaud, Bernard [1 ]
机构
[1] CHU Montpellier, Lapeyronie Univ Hosp, FR-34295 Montpellier 5, France
关键词
Acute renal failure; Dialysis; Central venous catheter; Intensive care unit; Complications; RENAL REPLACEMENT THERAPY; CRITICALLY-ILL PATIENTS; CENTRAL VEIN STENOSIS; HEMODIALYSIS; INFECTION; POSITION;
D O I
10.1159/000341721
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dialysis dependence at hospital discharge after acute kidney injury (AKI) requiring renal replacement therapy (RRT) in the intensive care unit (ICU) is found in 10-15% of survivors. In case of severe AKI in the ICU, it is necessary to reconcile two objectives: the creation of an adequate temporary angioaccess for RRT and the preservation of the patient's vascular network in case of evolution to end-stage renal disease. A central venous catheter (CVC) is the best option for RRT in the ICU setting. Most catheter-related hazards can be prevented by following best clinical practices for insertion and handling of the CVC, and by knowing the advantages and disadvantages of the different types of catheters, the sites and techniques of insertion, the types of RRT modality for choosing the best CVC option, and the prophylactic and therapeutic measures to prevent and to manage the complications. We review here some important aspects of the CVC for the treatment of AKI in the ICU. Copyright (C) 2012 S. Karger AG, Basel
引用
收藏
页码:194 / 199
页数:6
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