scholarly journals Catheter related infection in hemodialysis patients with double lumen catheter.

2019 ◽  
Vol 26 (08) ◽  
pp. 1278-1282
Author(s):  
Muhammad Ali ◽  
Bhagwan Das ◽  
Santosh Kumar ◽  
Rafia Memon ◽  
Bella Dayu ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Femoral Vein ◽  
Cross Sectional Study ◽  
Clinical Findings ◽  
Double Lumen ◽  
Cross Sectional ◽  
Catheter Related Infection ◽  
Double Lumen Catheter ◽  
Lumen Catheter

Catheter related infections are common issue, a major cause of morbidity and mortality in patients with uremia. Clinical findings, including fever, redness, or tenderness at catheter site are unreliable for the diagnosis of catheter-related infection due to poor sensitivity and specificity. Study Design: Descriptive Cross sectional Study. Setting: Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi. Period: September 2014 to March 2015. Materials and Methods: All patients with age 25-50 years of either gender undergoing hemodialysis via double-lumen catheter were enrolled. Regular monitoring of temperature and WBC counts was carried out. If a patient develops fever (100 F or more) or leukocytosis (TLC 12,000 /mcl), a through re-examination, urinalysis and chest X-ray was done to exclude other causes of infection in this patient. Blood cultures from catheter tip and a peripheral blood culture was sent. Growth of the organism from both the cultures was noted and catheter related infection was termed positive if same organism s found to be present in both the cultures. Results: Mean age of the patients was 42.69 ±6.86 years. There were 75 (58.10%) females and 54 (41.90%) males. In majority of the patients, site of catheter was right internal jugular vein 54 (41.90%), followed by femoral vein 30 (23.30%), left internal jugular vein 24 (18.60%) and subclavian vein in 21 (16.30%) patients. Frequency of catheter related infection was found to be 19 (14.70%). Conclusion: The frequency of catheter related infection was found in 19 (14.70%) patients undergoing hemodialysis via double-lumen catheter.

scholarly journals DOUBLE LUMEN CATHETERS

2011 ◽  
Vol 18 (03) ◽  
pp. 470-474
Author(s):  
MATEEN AKRAM ◽  
GHULAM ABBAS
Keyword(s):  
Sampling Technique ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Double Lumen ◽  
Cross Sectional ◽  
Medical College ◽  
Hemodialysis Unit ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
Sample Technique

Objective: To measure recirculation by Urea based Method in double lumen catheters in patients undergoing hemodialysis. Design: Cross sectional study. Place and duration of study: Hemodialysis unit of Nephrology department of Shaikh Zayed Hospital, Lahore, and Quaid- i-Azam Medical College Bahawalpur for period of eight months from October 2007 to May 2008. Patients and methods: Total 125 adult patients selected with Non probability purposive sampling technique in which hemodialysis were done through double lumen catheter, were studied for recirculation. Access recirculation by urea based method with three sample technique was calculated from following formula; Percentage Recirculation= Systemic (S) – Arterial (A)/ systemic – Venous (V) x 100. Results: Out of 125 patients 53 (42%) were males, whereas 72 (58%) were females. Their mean age was 43.4 ± 15.7 years. Percentage recirculation by urea based method was 10.3± 6.64 with range from 3.6 to 24.8. Conclusions: Our results have shown the upper limit of acceptable recirculation (10.3± 6.6) through double lumen catheter. Central venous catheter remains an important temporary access and in some cases the only achievable access for the patients. This recirculation should be considered when measuring adequacy level in these patients.

scholarly journals HEAMODIALYSIS PATIENTS;

2017 ◽  
Vol 24 (08) ◽  
pp. 1211-1215
Author(s):  
Aurangzeb Afzal ◽  
Anwar Ulhaq ◽  
Aizazmand Ahmed ◽  
Wasif Baig ◽  
Adnan Zafa ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Color Doppler ◽  
Cross Sectional Study ◽  
P Value ◽  
Central Vein ◽  
Double Lumen ◽  
Cross Sectional ◽  
Vein Stenosis ◽  
Central Vein Stenosis

Background: Internal jugular vein is considered the preferred site of insertion.Prevalence of central vein stenosis following temporary double lumen catheterization at differentsites seems to be different in Asian countries. Objectives: To evaluate the number of cases havingcatheterization and stenosis after being subjected to central vein catheterization (CVC) amongPakistani population. Study Design: Cross sectional study. Period: 6 months period. Setting:Admitted in the Department of Nephrology or already undergoing maintenance hemodialysisfulfilling the inclusion criteria were included in the study. Material and Method: The samplewhich was considered suitable for this study was 150 cases after checking the inclusion criteriacarefully. The patients were advised to undergo color Doppler ultrasonography of IJV and SCVof both sides. Demographics and outcome variables were noted and recorded for the analysispurposes. Data was analyzed used SPSS 20.inc Results: The frequency of catheterization ofcatherization at IJV was found to be 128(85.3%) and frequency of catheterization at SCV was22(14.7%). The frequency of CVS at IJV was found to be 43(29.68%) and the frequency of CVSat SCV was 81(54.54%). The frequency of stenosis at SCV was found to be significantly higherwith a p value of 0.029 (<0.05). Conclusion: Internal jugular vein is the most frequent andpreferred site of temporary double lumen catheterization for haemodialysis as it is associatedwith significantly lower rate of stenosis as compared to subclavian vein.

scholarly journals Retrieval of Intravascular Fractured Fragment of Tunnelled Double Lumen Catheter in Hemodialysis Patient

2019 ◽  
Vol 7 (1) ◽  
pp. 124-126 ◽  
Author(s):  
I Nyoman Semadi ◽  
Heru Sutanto Koerniawan ◽  
Hendry Irawan
Keyword(s):  
Internal Jugular Vein ◽  
Distal Part ◽  
Foreign Bodies ◽  
Hemodialysis Patient ◽  
Jugular Vein ◽  
Rare Complication ◽  
Double Lumen ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
The Right

BACKGROUND: Intravascular fractured fragment of double lumen catheter with embolisation is a serious and rare complication. Another serious complication includes infection, thrombosis, arrhythmias, and pulmonary embolism. We report a successful surgical venous cut-down technique in the retrieval of an intravascular fractured fragment of tunnelled double lumen catheter in a hemodialysis patient. CASE REPORT: A 51-year-old female underwent hemodialysis through a tunnelled double lumen catheter and had her arterio-venous graft matured. During retrieval of tunnelled double lumen catheter procedure, the distal part of the catheter was fractured and slipped into the internal jugular vein. Chest radiograph revealed intravascular double lumen catheter extending from the distal part of the right internal jugular vein to right atrium. The procedure of foreign body retrieval was done the next day under general anaesthesia and C-Arm guidance using right internal jugular venous cut-down approach. A right-angle clamp was used to retrieve the fragment without any post-procedure complications. CONCLUSION: Intravascular fractured fragment of double lumen catheter is a dangerous situation as are all the intravascular foreign bodies. The choices of the technique for retrieval of the fractured fragment are varied. It depends on the type and site of a fractured fragment as well as the surgeon experiences.

scholarly journals Determinan kejadian pemasangan ulang double lumen catheter pada pasien dengan penyakit ginjal kronis

2021 ◽  
Vol 15 (1) ◽  
pp. 95-101
Author(s):  
Riris Andriati ◽  
Dewi Fitriani ◽  
Liza Puspa Dewi ◽  
Yuliastuti Yuliastuti
Keyword(s):  
Femoral Vein ◽  
Central Vein ◽  
Double Lumen ◽  
Cross Sectional ◽  
Hemodialysis Catheter ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
History Of ◽  
Cross Sectional Design ◽  
Vena Femoralis

Determinants of double lumen catheter reimplantation in patients with chronic kidney diseaseBackground: Double Lumen catheter is a sterile tube that is inserted into a large central vein such as the jugular vein, subclavian vein or femoral vein through a surgical procedure. Failure of hemodialysis due to positional dysfunction and double lumen catheter infection must be reimplanted so that the hemodialysis continues on schedule.Purpose: To determine the relationship of factors that affect reattachment of the double lumen catheter in patients with chronic renal failure in BSD Medika Hospital.Method: A descriptive quantitative analytic with cross sectional design. Subjects were chronic kidney disease patients who performed regular hemodialysis through double lumen hemodialysis catheter access. Risk factor variables (age, sex, hypertension, DM, history of infection, location of insertion, duration of use, history of previous double lumen catheter placement). The research sample was 32 respondents.Results: Bivariat results, age (p = 0.637); gender (p = 1.000); status of hypertension (p = 0.338); status of infection (p = 0.138); status of Diabetes Mellitus (p = 0.053); insertion location (p = 0.052); duration of use (p= 0.004).Conclusion: There is a significant correlation between duration of use and reimplantation of double lumen catheter in patients with chronic kidney disease.Keywords: Double lumen catheter; Reimplantation; Patients; Chronic kidney diseasePendahuluan: Double lumen catheter adalah suatu selang steril yang dimasukan kedalam vena sentral besar seperti vena jugularis, vena subklavia atau vena femoralis melalui prosedur operasi. Kegagalan hemodialisa yang dikarenakan disfungsi posisi dan infeksi double lumen catheter maka harus dilakukan pemasangan ulang kateter agar hemodialisa tetap dilaksanakan sesuai jadwal.Tujuan: Mengetahui adanya hubungan faktor-faktor yang memengaruhi pemasangan ulang double lumen catheter pada pasien penyakit ginjal kronik di RS Medika BSD.Metode: Penelitian deskriptif analitik kuantitatif dengan desain cross sectional. Variabel yang digunakan adalah usia, jenis kelamin, riwayat hipertensi, riwayat DM, riwayat infeksi, lokasi insersi, lama penggunaan, dan riwayat pemasangan double lumen catheter sebelumnya. Subyek penelitian adalah pasien dengan penyakit ginjal kronis yang dilakukan hemodialisis reguler melalui akses vaskular kateter hemodialisis double lumen. Sampel penelitian sebesar 32 responden.Hasil: bivariat analisis menunjukkan hasil: usia (p=0.637); jenis kelamin (p=1.000); riwayat hipertensi (p=0.338); riwayat infeksi (p=0.138); riwayat DM (p=0.053); lokasi insersi (p=0.052); dan lama penggunaan (p=0.004).Simpulan: Lama penggunaan berhubungan signitifikan dengan pemasangan ulang catheter double lumen pada pasien gagal ginjal kronik di RS Medika BSD Kota Tangerang Selatan.

Congenital Diaphragmatic Hernia

2018 ◽  
Author(s):  
Sabina A. Khan ◽  
Nitin Wadhwa
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Internal Jugular Vein ◽  
Diaphragmatic Hernia ◽  
Jugular Vein ◽  
Respiratory Compromise ◽  
Ecmo Circuit ◽  
Pharmaceutical Management ◽  
Cardiopulmonary Support ◽  
Double Lumen Catheter ◽  
Lumen Catheter

Congenital diaphragmatic hernia (CDH) is characterized by malformation of the diaphragm, allowing for herniation of abdominal contents into the thoracic cavity. The most significant sequelae of this herniation are pulmonary hypoplasia and pulmonary hypertension, both contributing to significant morbidity and mortality. Multiple strategies exist to minimize respiratory compromise and improve outcome in a patient with CDH, including fetal intervention in selective cases, medical and pharmaceutical management, advanced ventilation strategies, extracorporeal membrane oxygenation (ECMO), and complete surgical repair. Veno-arterial ECMO (circuit between the internal jugular vein and the carotid artery) is used in infants who are unstable and require aggressive cardiopulmonary support, and veno-venous ECMO (circuit with a double lumen catheter in the internal jugular vein) is used in infants who only need respiratory support.

scholarly journals Korelasi Posisi Tip Catheter Double Lumen dengan Nilai Quick of Blood pada Pemasangan CDL Tunneling Vena Jugularis Interna Kanan di RSUP Prof. Dr. R. D. Kandou

2019 ◽  
Vol 11 (2) ◽  
pp. 104
Author(s):  
Angga P. Tubagus ◽  
Djony E. Tjandra ◽  
Richard Sumangkut
Keyword(s):  
Public Health Problem ◽  
Bivariate Analysis ◽  
Global Public Health ◽  
Double Lumen ◽  
Cross Sectional ◽  
Optimal Position ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
Catheter Tip ◽  
Tip Position

Abstract: Chronic kidney disease (CKD) is a global public health problem with increasing prevalence and incidence. Patients with CKD require kidney replacement therapy such as hemodialysis. The quick of blood (Qb) value is one of the most important determinants for adequate hemodialysis. Many factors can affect the Qb value, inter alia the catheter tip position. It is very complex and still controversial to determine the optimal position of the catheter itself. This study was aimed to determine the correlation between the double lumen catheter tip position and Qb value in insertion of the right internal jugular vein CDL tunneling at Prof. Dr. R. D. Kandou hospital. This was a correlation analytical study with a cross-sectional design. The position of the CDL tips were evaluated by using chest x-ray and the Qb values were determined by using hemodyalisis machine. Data were analyzed by using point-biserial correlation test. In total, 55 patients were included, mostly were males (56.4%) and late elderly (41.8%). The results showed that the average Qb value with CDL tip position in intraatrial (178.2 ml/minute) was slightly higher than the average Qb value with CDL tip position in CAJ (171.6 ml/minute). The bivariate analysis showed that the position of the double-lumen catheter tip had a weak positive correlation but not significant with the Qb value. Conclusion: There was a correlation but not statistically significant between the position of the CDL tip and the Qb value.Keywords: CKD, catheter tip position, catheter double-lumen, Quick of bloodAbstrak: Penyakit ginjal kronik (PGK) merupakan masalah kesehatan masyarakat global dengan prevalensi dan insidens yang terus meningkat. Pasien gagal ginjal memerlukan terapi pengganti ginjal seperti hemodialisis. Nilai quick of blood (Qb) merupakan salah satu penentu yang sangat penting bagi hemodialisis yang adekuat. Banyak faktor yang dapat memengaruhi nilai Qb, salah satunya ialah posisi tip kateter. Hal yang menentukan posisi optimal dari kateter sendiri sangat kompleks dan masih kontroversial. Penelitian ini bertujuan untuk mengetahui korelasi antara posisi tip kateter double lumen dengan nilai quick of blood pada pemasangan CDL vena jugularis interna kanan di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah analitik korelasi dengan desain potong lintang. Alat ukur yang digunakan ialah foto toraks untuk menentukan posisi tip CDL dan mesin hemodialisa untuk melihat nilai Qb. Data hasil penelitian dianalisis dengan uji korelasi point-biserial. Subyek penelitian ini sebanyak 55 pasien, lebih banyak yang berjenis kelamin laki-laki (56,4%) dan berada dalam kategori usia lansia akhir (41,8%). Hasil penelitian menunjukkan nilai rerata Qb posisi tip CDL di intraatrial (178,2 ml/menit) sedikit lebih tinggi daripada rerata nilai Qb posisi tip CDL di CAJ (171,6 ml/menit). Hasil analisis data mendapatkan korelasi positif lemah dan tidak bermakna (antara posisi tip catheter double-lumen dengan nilai Qb. Simpulan: Terdapat korelasi yang tidak bermakna secara statistik antara posisi tip CDL dengan nilai Qb.Kata kunci: PGK, posisi tip kateter, double-lumen catheter, quick of blood

Transcardiac cerebral angiography in a child

2013 ◽  
Vol 11 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Masaki Komiyama ◽  
Tomoya Ishiguro ◽  
Aiko Terada ◽  
Yosuke Murakami
Keyword(s):  
Cerebral Angiography ◽  
Femoral Vein ◽  
Balloon Catheter ◽  
Double Lumen ◽  
Double Lumen Catheter ◽  
Aneurysmal Dilation ◽  
Lumen Catheter ◽  
The Right ◽  
Aortic Interruption ◽  
Unusual Situation

The authors present a case in which transfemoral venous, transcardiac cerebral angiography was performed. In this 5-year-old girl with PHACE syndrome, both transfemoral and transbrachial arterial routes could not be used due to aortic interruption and aneurysmal dilation and small looping of the proximal portion of bilateral subclavian arteries. A 5-F balloon-tipped double-lumen catheter was advanced to the right atrium of the heart from the femoral vein. The catheter was then advanced to the left atrium through the patent foramen ovale and was further advanced to the left ventricle and then to the ascending aorta. The balloon catheter was exchanged for a 4-F catheter. Bilateral common carotid angiography was performed without difficulty. This transcardiac approach is useful in the unusual situation in which both femoral and brachial arterial routes are not available.

Improved oxygenation with reduced recirculation during venovenous ECMO: comparison of two catheters

Perfusion ◽  
2002 ◽  
Vol 17 (6) ◽  
pp. 415-419 ◽  
Author(s):  
Khodayar Rais-Bahrami ◽  
Dawn M Walton ◽  
Jeffrey E Sell ◽  
Oswaldo Rivera ◽  
Gerald T Mikesell ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Oxygen Saturation ◽  
Jugular Vein ◽  
Bleeding Complications ◽  
Cerebral Oxygen ◽  
Double Lumen ◽  
Double Lumen Catheter ◽  
Lumen Catheter ◽  
The Right ◽  
Vv Ecmo

Objectives: To determine whether the new double-lumen catheter made by OriGen Biomedical (Austin, TX) for venovenous (VV) extracorporeal membrane oxygenation (ECMO) would reduce recirculation and improve oxygenation during VV ECMO when compared with the Kendall double-lumen catheter (Kendall Healthcare Products, Mansfield, MA). Design: Prospective intervention study. Setting: The animal research laboratory at Children’s National Medical Center, Washington, DC. Subjects: Nine newborn lambs one to seven days old and weighing 4.4± 0.8 kg. Intervention: Animals were anesthetized, intubated, and ventilated. The ductus arteriosus was ligated. Femoral arterial and venous, cephalic jugular vein, and pulmonary artery catheters were placed. After systemic heparinization, the catheter to be tested, an OriGen catheter, was placed in the right internal jugular vein and advanced into the right atrium. The animal was placed on ECMO and stabilized, with the ventilator settings decreased to a peak inspiratory pressure of 15-20 cmH2O, peak end-expira-tory pressure of 5 cmH2O, rate of 15-25 breaths/min, and a fractional inspired oxygen concentration of 0.21-0.30. ECMO flows were increased in 100-ml increments from 200 to 600 ml/min with measurements taken 15 min after each change. The OriGen catheter was removed, the Kendall catheter was placed, and the studies were repeated. Measurements and Main Results: Heart rate, mean blood pressure, paO2, jugular cerebral oxygen saturation, pulmonary artery oxygen saturation, pump venous oxygen saturation, and postmembrane circuit pressures were measured at each study period. The OriGen catheter improved oxygenation, with higher systemic paO2, higher pulmonary artery and cerebral oxygen saturations, and lower pump venous oxygen saturations (indicating less recirculation). With the OriGen catheter, paO2 levels ranged from 69± 18 mmHg [9.2± 2.4 kPa] to 114 ± 45 mmHg [15.2± 6.0 kPa], compared range from 61± 15 mmHg [8.1± 2.0 kPa] to 87± 34 mmHg [11.5± 4.5 kPa] for the Kendall catheter. These findings indicate that, at all flow rates studied, less recirculation occurred with the OriGen catheter than with the Kendall catheter. The postmembrane pressures were significantly lower for the OriGen catheter at any given flow (from 30 ± 5 to 122 ± 18 mmHg) when compared with the Kendall catheter (from 77± 16 to 330 ± 78 mmHg). Conclusions: These findings indicate that the OriGen catheter resulted in a reduction of recirculation, thereby resulting in an improvement in oxygenation while on VV ECMO. The lower postmembrane pressure potentially could reduce the risk of ECMO circuit complications such as tubing rupture, bleeding complications, as well as hemolysis. This new catheter makes VV ECMO more effective and represents a design that could be used for neonatal and/or pediatric ECMO.

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