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

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.

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Catheter related infection in hemodialysis patients with double lumen catheter.

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.08.3869 ◽

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.

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DOUBLE LUMEN CATHETERS

The Professional Medical Journal ◽

10.29309/tpmj/2011.18.03.2369 ◽

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.

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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

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.11.2.2019.23322 ◽

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

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Korelasi Indeks Massa Tubuh dengan Velositas Vena Femoralis

Jurnal Radiologi Indonesia ◽

10.33748/jradidn.v2i1.36 ◽

2016 ◽

Vol 2 (1) ◽

pp. 1-5

Author(s):

Huda El Adha ◽

Sudarmanta Sudarmanta ◽

Yana Supriatna

Keyword(s):

Femoral Vein ◽

Inverse Correlation ◽

Elevated Risk ◽

Spearman Correlation ◽

Cross Sectional ◽

Positive Correlation ◽

Increased Risk ◽

Cross Sectional Design ◽

Highly Correlated ◽

Vena Femoralis

Background: Overweight and accumulation of abdominal fat is highly correlated with decreased of femoral vein velocity that contribute to increased risk of vein thromboembolism.Objectives: The aim of this study was to correlate body mass index (BMI) with femoral vein velocity.Material and Method: This study is a correlation analytic study with cross-sectional design in subject with BMI ? 18,5 kg/m2. BMI, waist hip ratio (WHR) and femoral vein velocity were assessed.Results: There were 40 subjects in this study, comprised of 25 (62,5%) men and 15 (37,5%) women, 23 to 49 year old. Spearman correlation revealed a signifcant inverse correlation between BMI and femoral vein velocity (r = -0,896, p = <0,001), between WHR and femoral vein velocity (r = -0,701, p = <0,001), and also revealed a signifcant positive correlation between BMI and WHR (r = 0,845 , p = <0,001).Conclusion: BMI had a signifcant inverse correlation with femoral vein velocity, these fndings are supported by the signifcant positive correlation between BMI and WHR, potentially leading to elevated risk for venous thromboembolism.

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Transcardiac cerebral angiography in a child

Journal of Neurosurgery Pediatrics ◽

10.3171/2012.10.peds12170 ◽

2013 ◽

Vol 11 (1) ◽

pp. 95-99 ◽

Cited By ~ 3

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.

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Characteristics Of Chronic Kidney Failure Patients Using Vascular Access For Hemodialysis In Vascular Surgical Division Dr. Mohammad Hoesin General Hospital Period 1 Januari – 31 Desember 2018

Sriwijaya Journal of Surgery ◽

10.37275/sjs.v2i2.30 ◽

2020 ◽

Vol 3 (2) ◽

pp. 80-93

Author(s):

Kemas Muhammad Dahlan ◽

Wahyu Sholekhuddin ◽

Fahmi Jaka Yusuf

Keyword(s):

Vascular Access ◽

Chronic Kidney Failure ◽

Double Lumen ◽

Hemodialysis Vascular Access ◽

Double Lumen Catheter ◽

Lumen Catheter ◽

History Of ◽

Male Patients ◽

The Right ◽

Av Shunt

Abstract Hemodialysis has been accepted as a method of treatment in patients with CKD in stage 5. A-V fistula is the closest ideal hemodialysis vascular access, so that it can reduce morbidity and mortality of CKD patients. This research is a retrospective descriptive study with data obtained from the A-V fistula surgery form archive in the Vascular and Endovascular Division of the Department of Surgery, FK UNSRI in January 2018-December 2018 and from the patient's medical record. Data processing was carried out with SPSS 16.0. The results of the study obtained 203 patient data with the use of AV Shunt that met the inclusion criteria. The mean age of patients was 50.53 years. There were 114 (56%) male patients and 89 (44%) female patients. Risk factors such as smoking were found in 9 (4%) patients. History of the disease prior to experiencing chronic renal failure was hypertension in 115 patients (56.6%) and diabetes in 81 (40%). There were 69 patient’s Hb data before AV shunt with Hb <7 (1%) in 2 people, 7-8.9 (33%) 67 people, 9-10.9 (53%) 108 people,> 11 (13%) 26 people. 128 (63%) patients had double lumen catheters installed in the right jugular, 5 (2%) patients were placed in the left jugular, and 70 (34%) patients did not have a double lumen catheter. A total of 169 (83%) patients had a history of using AV Shunt. There were 71 (35%) patients with the wrist region anastomosis, 132 (65%) patients with cubiti region anastomosis. Native AV shunt was the most commonly performed in 202 (99.5%) patients. There were no recorded complications after AV Shunt placement in 99 (48.8%) patients, 51 (25.2%) patients had AVF branches, 23 (11.3%) had AV Shunt rupture, 18 (8.8%) AVF stenosis, 1 (0.5%) central stenosis, 1 (0.5%) thrombus, and 11 (5.4%) infections. A total of 167 (82.2%) patients took AV Shunt after 3 months.

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Incidence And Characteristics Of Double Lumen Induced Central Venous Catheter-Related Thromboembolism In Hemodialytic Patients

Medicinus ◽

10.19166/med.v8i3.3768 ◽

2021 ◽

Vol 8 (3) ◽

pp. 111

Author(s):

Margaret Merlyn Tjiang ◽

Dimas Arsana Prayoga

Keyword(s):

Assessment Tool ◽

Controlled Trial ◽

Femoral Vein ◽

Significant Risk ◽

Venous Catheter ◽

Central Venous ◽

Double Lumen ◽

Vein Thrombosis ◽

Double Lumen Catheter ◽

Lumen Catheter

Background: Central venous catheters (CVCs) are frequently used in patients for several indications such as cancer treatment, diagnostic monitoring, parenteral nutrition, hemodialysis, and administration of fluids, blood products or medication. Double lumen catheter induced CVCs thrombosis has not been paid into proper attention in developing countries such as Indonesia.Aims: The aim of this study is to identify the incidence and characteristic of double lumen catheter induced CVCs thrombosis in patients undergoing hemodialysis.Methods: This systematic review has been registered in PROSPERO (CRD42020181584). A systematic search of literature for observational and randomized controlled trial was conducted in PubMed, PubMed central, and Google Scholar through April 16, 2020. Two reviewers independently searched and selected. The risk of bias was evaluated using the Newcastle-Ottawa Quality assessment tool. Results: A total of 408 patients were included in our study. There were 192 (47.1%) male patients. The double lumen catheter was mostly placed in the jugular vein (60%), followed by subclavian vein (25%) and femoral vein (15%). Four (1.1%) patients had deep vein thrombosis after about one month of double lumen catheter placement. All these four patients, the double lumen catheter was inserted in the femoral vein. Any other significant risk factors for thrombosis other than double lumen catheter insertion not found. Out of these four patients, one of them passed away. All patients were treated using heparin.Conclusion: The incidence of double lumen catheter induced thrombosis is low (1.1%) in patients undergoing hemodialysis. However, further larger study is needed to confirm and find the associating factors.

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THE PREVENTION OF SPREAD DURING PULMONARY RESECTION BY THE USE OF A DOUBLE-LUMEN CATHETER

Journal of Thoracic Surgery ◽

10.1016/s0096-5588(20)31640-8 ◽

1950 ◽

Vol 20 (1) ◽

pp. 151-157 ◽

Cited By ~ 14

Author(s):

Viking Olov Björk ◽

Eric Carlens

Keyword(s):

Pulmonary Resection ◽

Double Lumen ◽

Double Lumen Catheter ◽

Lumen Catheter

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Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

OMEGA - Journal of Death and Dying ◽

10.1177/00302228211003462 ◽

2021 ◽

pp. 003022282110034

Author(s):

Azam Farmani ◽

Mojtaba Rahimianbougar ◽

Yousef Mohammadi ◽

Hossein Faramarzi ◽

Siamak Khodarahimi ◽

...

Keyword(s):

Risk Assessment ◽

Suicide Attempt ◽

Suicide Attempts ◽

Psychological Services ◽

Cross Sectional ◽

Economic Determinants ◽

History Of ◽

Cross Sectional Design ◽

High Level ◽

Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

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