open access

Vol 45, No 3 (2013 Jul-Sep)
Review articles
Submitted: 2013-09-25
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Methods of central vascular access for haemodialysis

Jarosław Leś, Zofia Wańkowicz
DOI: 10.5603/AIT.2013.0035
·
Anaesthesiol Intensive Ther 2013;45(3):171-176.

open access

Vol 45, No 3 (2013 Jul-Sep)
Review articles
Submitted: 2013-09-25

Abstract

The basic form of renal replacement therapy is haemodialysis. The duration and efficacy of this treatment depends on well-functioning vascular access. Short-term or long-term catheters are used if the arterial-venous fistula placement is not possible or not indicated. According to the recommendations of the NKF DOQI (National Kidney Foundation Disease Outcomes Quality Initiative), the first choice of access is the right internal jugular vein, and the next are the left internal jugular, femoral and subclavian vein. In this article, we present approaches to the abovementioned veins for haemodialysis cathether insertion as well as catheter tip positioning in the venous system to prevent serious complications.

Abstract

The basic form of renal replacement therapy is haemodialysis. The duration and efficacy of this treatment depends on well-functioning vascular access. Short-term or long-term catheters are used if the arterial-venous fistula placement is not possible or not indicated. According to the recommendations of the NKF DOQI (National Kidney Foundation Disease Outcomes Quality Initiative), the first choice of access is the right internal jugular vein, and the next are the left internal jugular, femoral and subclavian vein. In this article, we present approaches to the abovementioned veins for haemodialysis cathether insertion as well as catheter tip positioning in the venous system to prevent serious complications.

Get Citation

Keywords

anaesthetic techniques, central venous access, haemodialysis catheters

About this article
Title

Methods of central vascular access for haemodialysis

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 45, No 3 (2013 Jul-Sep)

Pages

171-176

DOI

10.5603/AIT.2013.0035

Bibliographic record

Anaesthesiol Intensive Ther 2013;45(3):171-176.

Keywords

anaesthetic techniques
central venous access
haemodialysis catheters

Authors

Jarosław Leś
Zofia Wańkowicz

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