Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria

Objectives: Tunneled and nontunneled jugular access routes are the most widely used routes for hemodialysis (HD) in developing countries. This study was a retrospective review of the utility, safety, and outcomes of both tunneled and nontunneled curved internal jugular catheter use in patients with...

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Main Authors: Ade Emmanuel Faponle, Olalekan O. Olatise, Martin Igbokwe, Stephen Olabode Asaolu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Nigerian Journal of Medicine
Subjects:
Online Access:http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=3;spage=455;epage=459;aulast=Faponle
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spelling doaj-3210aaad177d4e10a257ef150cb341d02021-08-09T10:22:46ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132020-01-0129345545910.4103/NJM.NJM_77_20Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, NigeriaAde Emmanuel FaponleOlalekan O. OlatiseMartin IgbokweStephen Olabode AsaoluObjectives: Tunneled and nontunneled jugular access routes are the most widely used routes for hemodialysis (HD) in developing countries. This study was a retrospective review of the utility, safety, and outcomes of both tunneled and nontunneled curved internal jugular catheter use in patients with end-stage renal disease (ESRD) in Zenith Medical and Kidney Centre, Abuja, Nigeria. Materials and Methods: This is a retrospective study of 100 ESRD patients on maintenance HD at the center between June 2019 and December 2019. All patients on maintenance dialysis with tunneled and nontunneled curved internal jugular catheter were observed for immediate and short-term complications associated with the catheter. Results: Among the patients, 90 (90.0%) had tunneled dialysis catheters placement and dialyzed with it, while 10 (10%) patients had nontunneled dialysis catheters use. While 90 (90%) of the patients with the dialysis catheters developed no complications, ten (10%) patients had catheter-related complications either during catheter insertion or while it was being used for dialysis. The most common in this study was reactionary hemorrhage which occurred in 5% of the patients evaluated. Ten (10%) of the patients with catheter placement required ultrasonic guidance. No death was recorded during catheter placement. Conclusion: Internal jugular tunneled and Non tunneled dialysis catheters (NTDCs) are safe with good outcomes among our ESRD patients.http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=3;spage=455;epage=459;aulast=Faponlecathetershemodialysisnigeriaoutcometunneled and nontunneled dialysis catheterszenith medical
collection DOAJ
language English
format Article
sources DOAJ
author Ade Emmanuel Faponle
Olalekan O. Olatise
Martin Igbokwe
Stephen Olabode Asaolu
spellingShingle Ade Emmanuel Faponle
Olalekan O. Olatise
Martin Igbokwe
Stephen Olabode Asaolu
Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
Nigerian Journal of Medicine
catheters
hemodialysis
nigeria
outcome
tunneled and nontunneled dialysis catheters
zenith medical
author_facet Ade Emmanuel Faponle
Olalekan O. Olatise
Martin Igbokwe
Stephen Olabode Asaolu
author_sort Ade Emmanuel Faponle
title Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
title_short Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
title_full Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
title_fullStr Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
title_full_unstemmed Outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at Zenith Medical and Kidney centre, Nigeria
title_sort outcomes of tunneled and nontunneled internal jugular catheters for hemodialysis at zenith medical and kidney centre, nigeria
publisher Wolters Kluwer Medknow Publications
series Nigerian Journal of Medicine
issn 1115-2613
publishDate 2020-01-01
description Objectives: Tunneled and nontunneled jugular access routes are the most widely used routes for hemodialysis (HD) in developing countries. This study was a retrospective review of the utility, safety, and outcomes of both tunneled and nontunneled curved internal jugular catheter use in patients with end-stage renal disease (ESRD) in Zenith Medical and Kidney Centre, Abuja, Nigeria. Materials and Methods: This is a retrospective study of 100 ESRD patients on maintenance HD at the center between June 2019 and December 2019. All patients on maintenance dialysis with tunneled and nontunneled curved internal jugular catheter were observed for immediate and short-term complications associated with the catheter. Results: Among the patients, 90 (90.0%) had tunneled dialysis catheters placement and dialyzed with it, while 10 (10%) patients had nontunneled dialysis catheters use. While 90 (90%) of the patients with the dialysis catheters developed no complications, ten (10%) patients had catheter-related complications either during catheter insertion or while it was being used for dialysis. The most common in this study was reactionary hemorrhage which occurred in 5% of the patients evaluated. Ten (10%) of the patients with catheter placement required ultrasonic guidance. No death was recorded during catheter placement. Conclusion: Internal jugular tunneled and Non tunneled dialysis catheters (NTDCs) are safe with good outcomes among our ESRD patients.
topic catheters
hemodialysis
nigeria
outcome
tunneled and nontunneled dialysis catheters
zenith medical
url http://www.njmonline.org/article.asp?issn=1115-2613;year=2020;volume=29;issue=3;spage=455;epage=459;aulast=Faponle
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