CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS

The application of the central venous catheter (CVC) as a temporary orpermanent vascular approach to hemodialysis has been practiced in our Center since1994. So far 30 (12,6%) patients have been thus treated. The primary application hasbeen done in 25 patients, namely: the first making of the A V fi...

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Main Authors: Verica Djordjevic, Joksim Jovicic, Miroslav Radisic
Format: Article
Language:English
Published: University in Nis, Faculty of Medicine 2001-03-01
Series:Acta Medica Medianae
Subjects:
Online Access:http://publisher.medfak.ni.ac.rs/2001-html/2-broj-2001/CENTRALNI%20VENSKI%20KATETER%20KAO%20VASKULARNI%20PRISTUP%20ZA%20HEMODIJALIZU.pdf
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spelling doaj-145ca3569cd441a6adb81f0e838a07352020-11-24T23:49:13ZengUniversity in Nis, Faculty of MedicineActa Medica Medianae0365-44782001-03-014025560CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTSVerica DjordjevicJoksim JovicicMiroslav RadisicThe application of the central venous catheter (CVC) as a temporary orpermanent vascular approach to hemodialysis has been practiced in our Center since1994. So far 30 (12,6%) patients have been thus treated. The primary application hasbeen done in 25 patients, namely: the first making of the A V fistula has been done in16, the ABT in 6, while the vascular approach correction in 3 patients. The secondaryapplication has been done in 5 patients. The infection episode incidence concerningthe CVC application is 20 infections per 1.000 patients. This is the upper limitaccording to the data given in the literature (5, rang 3-20). The average duration of thecatheter is 21 + - 13 days (rang 1-47). Two-volume catheters have been used for ajugular approach though less often for a femoral one. The unsuccessful placing due tothe catheter thrombosis has occurred in 4 patients, the catheter drop-out and itsreplacing have been done in 2 patients, while no replacement has happened in onečaše. The treatment has been stopped in one patient. Tn four patients the cerebrovascularinsult has happened after placing the CVC. The mortality rate is 26,6%,that is, K patients, namely: 4 due to cerebrovascular insult, one due to lung emboly,one due to heart weakness and one due to the sepsis from the V fistula. One patientdied at home for unknown reason. A high infection episode incidence rate is related toinadequate patients' placing so that their location in the rooms for intensive care is away of reducing it. It is necessary to provide for general aseptic procedure at work aswell as for betterment of the accompanying procedures (hemoculture, antibiograms,sterilization) in order to maintain a safe catheter function.http://publisher.medfak.ni.ac.rs/2001-html/2-broj-2001/CENTRALNI%20VENSKI%20KATETER%20KAO%20VASKULARNI%20PRISTUP%20ZA%20HEMODIJALIZU.pdfCentral venous catheterhemodialysisresults
collection DOAJ
language English
format Article
sources DOAJ
author Verica Djordjevic
Joksim Jovicic
Miroslav Radisic
spellingShingle Verica Djordjevic
Joksim Jovicic
Miroslav Radisic
CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
Acta Medica Medianae
Central venous catheter
hemodialysis
results
author_facet Verica Djordjevic
Joksim Jovicic
Miroslav Radisic
author_sort Verica Djordjevic
title CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
title_short CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
title_full CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
title_fullStr CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
title_full_unstemmed CENTRAL VENOUS CATHETER AS A VASCULAR APPROACH TO HEMODIALYSTS
title_sort central venous catheter as a vascular approach to hemodialysts
publisher University in Nis, Faculty of Medicine
series Acta Medica Medianae
issn 0365-4478
publishDate 2001-03-01
description The application of the central venous catheter (CVC) as a temporary orpermanent vascular approach to hemodialysis has been practiced in our Center since1994. So far 30 (12,6%) patients have been thus treated. The primary application hasbeen done in 25 patients, namely: the first making of the A V fistula has been done in16, the ABT in 6, while the vascular approach correction in 3 patients. The secondaryapplication has been done in 5 patients. The infection episode incidence concerningthe CVC application is 20 infections per 1.000 patients. This is the upper limitaccording to the data given in the literature (5, rang 3-20). The average duration of thecatheter is 21 + - 13 days (rang 1-47). Two-volume catheters have been used for ajugular approach though less often for a femoral one. The unsuccessful placing due tothe catheter thrombosis has occurred in 4 patients, the catheter drop-out and itsreplacing have been done in 2 patients, while no replacement has happened in onečaše. The treatment has been stopped in one patient. Tn four patients the cerebrovascularinsult has happened after placing the CVC. The mortality rate is 26,6%,that is, K patients, namely: 4 due to cerebrovascular insult, one due to lung emboly,one due to heart weakness and one due to the sepsis from the V fistula. One patientdied at home for unknown reason. A high infection episode incidence rate is related toinadequate patients' placing so that their location in the rooms for intensive care is away of reducing it. It is necessary to provide for general aseptic procedure at work aswell as for betterment of the accompanying procedures (hemoculture, antibiograms,sterilization) in order to maintain a safe catheter function.
topic Central venous catheter
hemodialysis
results
url http://publisher.medfak.ni.ac.rs/2001-html/2-broj-2001/CENTRALNI%20VENSKI%20KATETER%20KAO%20VASKULARNI%20PRISTUP%20ZA%20HEMODIJALIZU.pdf
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AT joksimjovicic centralvenouscatheterasavascularapproachtohemodialysts
AT miroslavradisic centralvenouscatheterasavascularapproachtohemodialysts
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