Temporary hemodialysis catheters

Recent advances

Edward G. Clark*, Jeffrey H. Barsuk

*Corresponding author for this work

Research output: Contribution to journalShort survey

20 Citations (Scopus)

Abstract

The insertion of non-tunneled temporary hemodialysis catheters (NTHCs) is a core procedure of nephrology practice. While urgent dialysis may be life-saving, mechanical and infectious complications related to the insertion of NTHCs can be fatal. In recent years, various techniques that reduce mechanical and infectious complications related to NTHCs have been described. Evidence now suggests that ultrasound guidance should be used for internal jugular and femoral vein NTHC insertions. The implementation of evidence-based infection-control 'bundles' for central venous catheter insertions has significantly reduced the incidence of bloodstream infections in the intensive care unit setting with important implications for how nephrologists should insert NTHCs. In addition, the Cathedia Study has provided the first high-level evidence about the optimal site of NTHC insertion, as it relates to the risk of infection and catheter dysfunction. Incorporating these evidence-based techniques into a simulation-based program for training nephrologists in NTHC insertion has been shown to be an effective way to improve the procedural skills of nephrology trainees. Nonetheless, there are some data suggesting nephrologists have been slow to adopt evidence-based practices surrounding NTHC insertion. This mini review focuses on techniques that reduce the complications of NTHCs and are relevant to the practice and training of nephrologists.

Original languageEnglish (US)
Pages (from-to)888-895
Number of pages8
JournalKidney international
Volume86
Issue number5
DOIs
StatePublished - Nov 5 2014

Fingerprint

Renal Dialysis
Catheters
Nephrology
Femoral Vein
Central Venous Catheters
Evidence-Based Practice
Jugular Veins
Infection Control
Infection
Intensive Care Units
Dialysis
Education
Nephrologists
Incidence

Keywords

  • acute kidney injury
  • acute renal failure
  • chronic hemodialysis
  • hemodialysis access
  • vascular access

ASJC Scopus subject areas

  • Nephrology

Cite this

Clark, Edward G. ; Barsuk, Jeffrey H. / Temporary hemodialysis catheters : Recent advances. In: Kidney international. 2014 ; Vol. 86, No. 5. pp. 888-895.
@article{1b68cbf7bcdc4e93887154bcb919d864,
title = "Temporary hemodialysis catheters: Recent advances",
abstract = "The insertion of non-tunneled temporary hemodialysis catheters (NTHCs) is a core procedure of nephrology practice. While urgent dialysis may be life-saving, mechanical and infectious complications related to the insertion of NTHCs can be fatal. In recent years, various techniques that reduce mechanical and infectious complications related to NTHCs have been described. Evidence now suggests that ultrasound guidance should be used for internal jugular and femoral vein NTHC insertions. The implementation of evidence-based infection-control 'bundles' for central venous catheter insertions has significantly reduced the incidence of bloodstream infections in the intensive care unit setting with important implications for how nephrologists should insert NTHCs. In addition, the Cathedia Study has provided the first high-level evidence about the optimal site of NTHC insertion, as it relates to the risk of infection and catheter dysfunction. Incorporating these evidence-based techniques into a simulation-based program for training nephrologists in NTHC insertion has been shown to be an effective way to improve the procedural skills of nephrology trainees. Nonetheless, there are some data suggesting nephrologists have been slow to adopt evidence-based practices surrounding NTHC insertion. This mini review focuses on techniques that reduce the complications of NTHCs and are relevant to the practice and training of nephrologists.",
keywords = "acute kidney injury, acute renal failure, chronic hemodialysis, hemodialysis access, vascular access",
author = "Clark, {Edward G.} and Barsuk, {Jeffrey H.}",
year = "2014",
month = "11",
day = "5",
doi = "10.1038/ki.2014.162",
language = "English (US)",
volume = "86",
pages = "888--895",
journal = "Kidney International",
issn = "0085-2538",
publisher = "Nature Publishing Group",
number = "5",

}

Temporary hemodialysis catheters : Recent advances. / Clark, Edward G.; Barsuk, Jeffrey H.

In: Kidney international, Vol. 86, No. 5, 05.11.2014, p. 888-895.

Research output: Contribution to journalShort survey

TY - JOUR

T1 - Temporary hemodialysis catheters

T2 - Recent advances

AU - Clark, Edward G.

AU - Barsuk, Jeffrey H.

PY - 2014/11/5

Y1 - 2014/11/5

N2 - The insertion of non-tunneled temporary hemodialysis catheters (NTHCs) is a core procedure of nephrology practice. While urgent dialysis may be life-saving, mechanical and infectious complications related to the insertion of NTHCs can be fatal. In recent years, various techniques that reduce mechanical and infectious complications related to NTHCs have been described. Evidence now suggests that ultrasound guidance should be used for internal jugular and femoral vein NTHC insertions. The implementation of evidence-based infection-control 'bundles' for central venous catheter insertions has significantly reduced the incidence of bloodstream infections in the intensive care unit setting with important implications for how nephrologists should insert NTHCs. In addition, the Cathedia Study has provided the first high-level evidence about the optimal site of NTHC insertion, as it relates to the risk of infection and catheter dysfunction. Incorporating these evidence-based techniques into a simulation-based program for training nephrologists in NTHC insertion has been shown to be an effective way to improve the procedural skills of nephrology trainees. Nonetheless, there are some data suggesting nephrologists have been slow to adopt evidence-based practices surrounding NTHC insertion. This mini review focuses on techniques that reduce the complications of NTHCs and are relevant to the practice and training of nephrologists.

AB - The insertion of non-tunneled temporary hemodialysis catheters (NTHCs) is a core procedure of nephrology practice. While urgent dialysis may be life-saving, mechanical and infectious complications related to the insertion of NTHCs can be fatal. In recent years, various techniques that reduce mechanical and infectious complications related to NTHCs have been described. Evidence now suggests that ultrasound guidance should be used for internal jugular and femoral vein NTHC insertions. The implementation of evidence-based infection-control 'bundles' for central venous catheter insertions has significantly reduced the incidence of bloodstream infections in the intensive care unit setting with important implications for how nephrologists should insert NTHCs. In addition, the Cathedia Study has provided the first high-level evidence about the optimal site of NTHC insertion, as it relates to the risk of infection and catheter dysfunction. Incorporating these evidence-based techniques into a simulation-based program for training nephrologists in NTHC insertion has been shown to be an effective way to improve the procedural skills of nephrology trainees. Nonetheless, there are some data suggesting nephrologists have been slow to adopt evidence-based practices surrounding NTHC insertion. This mini review focuses on techniques that reduce the complications of NTHCs and are relevant to the practice and training of nephrologists.

KW - acute kidney injury

KW - acute renal failure

KW - chronic hemodialysis

KW - hemodialysis access

KW - vascular access

UR - http://www.scopus.com/inward/record.url?scp=84908570986&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84908570986&partnerID=8YFLogxK

U2 - 10.1038/ki.2014.162

DO - 10.1038/ki.2014.162

M3 - Short survey

VL - 86

SP - 888

EP - 895

JO - Kidney International

JF - Kidney International

SN - 0085-2538

IS - 5

ER -