Prevention and management of dialysis catheter complications in the intensive care unit.

Abstract:

:Dialysis dependence at hospital discharge after acute kidney injury (AKI) requiring renal replacement therapy (RRT) in the intensive care unit (ICU) is found in 10-15% of survivors. In case of severe AKI in the ICU, it is necessary to reconcile two objectives: the creation of an adequate temporary angioaccess for RRT and the preservation of the patient's vascular network in case of evolution to end-stage renal disease. A central venous catheter (CVC) is the best option for RRT in the ICU setting. Most catheter-related hazards can be prevented by following best clinical practices for insertion and handling of the CVC, and by knowing the advantages and disadvantages of the different types of catheters, the sites and techniques of insertion, the types of RRT modality for choosing the best CVC option, and the prophylactic and therapeutic measures to prevent and to manage the complications. We review here some important aspects of the CVC for the treatment of AKI in the ICU.

journal_name

Blood Purif

journal_title

Blood purification

authors

Wilson P,Lertdumrongluk P,Leray-Moragués H,Chenine-Koualef L,Patrier L,Canaud B

doi

10.1159/000341721

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

194-9

issue

2

eissn

0253-5068

issn

1421-9735

pii

000341721

journal_volume

34

pub_type

杂志文章,评审
  • Hemodynamic stability during different forms of dialysis therapy: a pathogenetic analysis.

    abstract::Pathophysiological aspects of plasma volume preservation and cardiovascular reactivity are reviewed, comparing combined ultrafiltration-hemodialysis with isolated ultrafiltration and hemofiltration. The role of different factors in the disparity in cardiovascular reactivity between these treatments is discussed. ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000170294

    authors: Hendrikus W,van Kuijk M,Leunissen KM

    更新日期:1996-01-01 00:00:00

  • Nocturnal Hemodialysis Compared with Conventional Dialysis for End-Stage Renal Disease Treatment in Polycystic Kidney Disease Patients.

    abstract:BACKGROUND:Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary cause of end-stage renal disease (ESRD). Little is known about outcomes after in-center nocturnal hemodialysis (NHD) treatment in ADPKD patients with ESRD. OBJECTIVES:This study aimed to evaluate the effects of in-center NHD ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000503679

    authors: Xue C,Sun B,Ye X,Zhou C,Yang B,Zhang L,Yu S

    更新日期:2020-01-01 00:00:00

  • Defective interleukin-10 synthesis by peripheral blood mononuclear cells among hemodialysis patients.

    abstract:BACKGROUND:Interleukin-10 (IL-10), a potent regulatory monokine produced by activated mononuclear cells, provides an efficient autocrine mechanism for controlling proinflammatory cytokine synthesis. We hypothesized that defective synthesis of IL-10 could contribute to the inflammatory state in hemodialysis (HD) patient...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000066958

    authors: Perianayagam MC,Jaber BL,Guo D,King AJ,Pereira BJ,Balakrishnan VS

    更新日期:2002-01-01 00:00:00

  • Reduction of hepatitis C virus using lectin affinity plasmapheresis in dialysis patients.

    abstract:BACKGROUND/AIMS:To test the safety and efficacy of the Aethlon Hemopurifier, a lectin affinity cartridge, in clearing hepatitis C virus (HCV) from the blood of HCV-positive end-stage renal disease patients undergoing dialysis. Viral RNA was measured using real-time quantitative reverse transcriptase polymerase chain re...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000167011

    authors: Tullis RH,Duffin RP,Handley HH,Sodhi P,Menon J,Joyce JA,Kher V

    更新日期:2009-01-01 00:00:00

  • Advances and advantages in recent central dialysis fluid delivery system.

    abstract::The central dialysis fluid delivery system (CDDS) has been working exclusively in Japan since 1970, a fact which proves that CDDS is useful in the multi-patient treatment with in-center regular hemodialysis. It is a cost-effective, labor-saving and time-tested system with 40 years of experience. Microbial safety is im...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000213494

    authors: Koda Y,Mineshima M

    更新日期:2009-01-01 00:00:00

  • Cell-based strategies for the treatment of kidney dysfunction: a review.

    abstract::Conventional treatment of acute and chronic renal diseases has focused on solute removal. Novel strategies aim to treat the multifactorial disease states of acute kidney injury and chronic kidney disease by mitigating inflammation. Cell-based technologies for the treatment of kidney dysfunction fall under two broad ca...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000341649

    authors: Pino CJ,Yevzlin AS,Tumlin J,Humes HD

    更新日期:2012-01-01 00:00:00

  • Effects of Multidisciplinary Team Care Based on 5E's Renal Rehabilitation for Peritoneal Dialysis Patients in Guangxi Zhuang Autonomous Region of China: A Randomized Controlled Trial.

    abstract:BACKGROUND:The number of patients with peritoneal dialysis (PD) in China has been increasing year after year, but there are still some challenge in the management of PD patients, and the efficient and effective method has yet to be developed. Multidisciplinary team (MDT) is to create a standardized, individualized, and...

    journal_title:Blood purification

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000496823

    authors: Luo Y,Huang Y,Chen X,Meng G,Zhang Y

    更新日期:2019-01-01 00:00:00

  • Effect of Furosemide on Urinary Oxygenation in Patients with Septic Shock.

    abstract:BACKGROUND:Renal medullary hypoxia precedes the development of acute kidney injury in experimental sepsis and can now be assessed by continuous measurement of urinary oxygen tension (PuO2). OBJECTIVES:We aimed to test if PuO2 measurements in patients with septic shock would be similar to those shown in experimental se...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000501512

    authors: Osawa EA,Cutuli SL,Bitker L,Canet E,Cioccari L,Iguchi N,Lankadeva YR,Eastwood GM,Evans RG,May CN,Bellomo R

    更新日期:2019-01-01 00:00:00

  • An observational study on the effects of nadroparin-based and citrate-based continuous venovenous hemofiltration on calcium metabolism.

    abstract:BACKGROUND:To study calcium homeostasis during citrate-based compared to nadroparin-based CVVH in critically-ill patients with acute renal failure. METHODS:11 patients were observed during citrate anticoagulation, 9 with nadroparin and 10 controls. Citrate was chosen for patients with active or at risk for bleeding. ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000101853

    authors: van der Voort PH,Postma SR,Kingma WP,Boerma EC,de Heide LJ,Bakker AJ

    更新日期:2007-01-01 00:00:00

  • Microcirculation: Physiology, Pathophysiology, and Clinical Application.

    abstract::This paper briefly reviews the physiological components of the microcirculation, focusing on its function in homeostasis and its central function in the realization of oxygen transport to tissue cells. Its pivotal role in the understanding of circulatory compromise in states of shock and renal compromise is discussed....

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000503775

    authors: Guven G,Hilty MP,Ince C

    更新日期:2020-01-01 00:00:00

  • Biocompatibility of hemodialysis membranes: a study in healthy subjects.

    abstract::The effect of blood-membrane interaction on several biocompatibility parameters has been investigated. Four groups of healthy subjects underwent sham hemodialysis, i.e. the establishment of blood-dialysis membrane contact, but without circulating dialysate, using cellulose-based membranes (regenerated cellulose and ce...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000170153

    authors: Gutierrez A,Alvestrand A,Bergström J,Beving H,Lantz B,Henderson LW

    更新日期:1994-01-01 00:00:00

  • Alleviation of cisplatin nephrotoxicity: efficacy of local intra-arterial injection concomitant with hemodialysis.

    abstract::Although cis-diamminedichloroplatinum (cisplatin) is widely used in the treatment of malignant tumors, the dose administered is limited because of side effects such as nephrotoxicity. The plasma levels of non-protein-bound platinum, which can be removed by dialysis, play an important role in the antitumor effects and ...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章

    doi:10.1159/000170256

    authors: Yura T,Badr KF,Yuasa S,Kurose T,Ohkawa M,Hando T,Fukunaga M,Matsuo H

    更新日期:1996-01-01 00:00:00

  • Peritoneal membrane failure in peritoneal dialysis patients.

    abstract::A review is given of the conditions associated with peritoneal membrane failure, and the possible causes. Ultrafiltration failure is the most important manifestation. It is mostly associated with high transport rates of low molecular weight solutes suggesting the presence of a large vascular surface area. Enlargement ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000065202

    authors: Krediet RT,Van Esch S,Smit W,Michels WM,Zweers MM,Ho-Dac-Pannekeet MM,Struijk DG

    更新日期:2002-01-01 00:00:00

  • Kidneys, hearts, hormones and immunomodulators: integrated understandings.

    abstract::The biological processes governing vascular endothelial cell health are complex and highly redundant. The mechanisms involved in cell injury and repair remain an area of intense study. This paper attempts to review current knowledge regarding hormones such as vitamin D, erythropoietin and aldosterone within the contex...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000089436

    authors: Levin A

    更新日期:2006-01-01 00:00:00

  • Special considerations for antihypertensive agents in dialysis patients.

    abstract::Hypertension is present in most patients with end-stage renal disease and likely contributes to the premature cardiovascular disease in dialysis patients. Previous practice guidelines have recommended that, in patients on chronic dialysis, blood pressure (BP) should be reduced below 130/80 mm Hg. This is based on opin...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000245631

    authors: Redon J,Martinez F,Cheung AK

    更新日期:2010-01-01 00:00:00

  • Clinical outcome of patients with Wegener's granulomatosis treated with plasma exchange.

    abstract::We report the clinical course of 29 patients with Wegener's granulomatosis (WG) treated with plasma exchange (PE) in Norway in the period from 1988 to 1999. Median follow-up was 41.5 months. The mean number of exchanges was 8.5 +/- 5.8 (range 2-32). Median serum creatinine concentration was 400 micromol/l (range 90-1,...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000047004

    authors: Aasarød K,Iversen BM,Hammerstrøm J,Bostad L,Jørstad S

    更新日期:2002-01-01 00:00:00

  • Membrane-Based Therapeutic Plasma Exchange in Intensive Care.

    abstract::The principles and use of plasmapheresis are often little understood by intensivists. We propose to review the principles, the main indications, and the methods of using this technique. ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000510983

    authors: Redant S,De Bels D,Ismaili K,Honoré PM

    更新日期:2020-10-22 00:00:00

  • Paired filtration dialysis: studies on efficiency, flow dynamics and hydraulic properties of the system.

    abstract::Several strategies have been proposed to increase dialysis efficiency in order to reduce dialysis treatment time. Paired filtration dialysis (two-chamber technique) is a new technique combining the advantages of highly permeable membranes and convective transport with the high depurative efficacy of diffusion. The sys...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000169955

    authors: Ronco C,Feriani M,Brendolan A,Chiaramonte S,Milan M,Dell'Aquila R,Scabardi M,Bragantini L,Conz P,La Greca G

    更新日期:1990-01-01 00:00:00

  • Development of intermittent infusion hemodiafiltration using ultrapure dialysis fluid with an automated dialysis machine.

    abstract::To reduce the potential occurrence of hypotension during a dialysis treatment, intermittent infusion hemodiafiltration (I-HDF) using back filtration with an ultrapure dialysis fluid was developed. Under typical I-HDF treatment conditions, some 200-300 ml of ultrapure dialysis fluid was infused into the blood component...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1159/000346371

    authors: Mineshima M,Eguchi K

    更新日期:2013-01-01 00:00:00

  • Lower serum magnesium is associated with cardiovascular risk factors and mortality in haemodialysis patients.

    abstract:BACKGROUND:Hypomagnesaemia is a cardiovascular (CV) risk factor in the general population. The aim of this study was to evaluate the relationship between pre-dialysis magnesium (Mg) and CV risk markers, [including pulse pressure (PP), left ventricular mass index (LVMI) and vascular calcifications (VC)], and mortality i...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000366124

    authors: João Matias P,Azevedo A,Laranjinha I,Navarro D,Mendes M,Ferreira C,Amaral T,Jorge C,Aires I,Gil C,Ferreira A

    更新日期:2014-01-01 00:00:00

  • Presepsin and Procalcitonin Levels as Markers of Adverse Postoperative Complications and Mortality in Cardiac Surgery Patients.

    abstract::Backgound: This study was aimed at evaluating the presepsin and procalcitonin levels to predict adverse postoperative complications and mortality in cardiac surgery patients. METHODS:A total of 122 cardiac surgery patients were enrolled for the study. Presepsin and procalcitonin levels were measured 48 h after the pr...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章

    doi:10.1159/000494207

    authors: Clementi A,Virzì GM,Muciño-Bermejo MJ,Nalesso F,Giavarina D,Carta M,Brocca A,de Cal M,Hinna Danesi T,Zanella M,Marchionna N,Brendolan A,Battaglia GG,Salvador L,Ronco C

    更新日期:2019-01-01 00:00:00

  • When should renal replacement therapy for acute kidney injury be initiated and discontinued?

    abstract:BACKGROUND:Critically ill patients with acute kidney injury (AKI) are at high risk for death and frequently require initiation of renal replacement therapy (RRT). There is wide variation in clinical practice on the indications for and timing of initiation and discontinuation of RRT. Numerous clinical and biochemical fa...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000157325

    authors: Gibney RT,Bagshaw SM,Kutsogiannis DJ,Johnston C

    更新日期:2008-01-01 00:00:00

  • Effect of Sedative-Hypnotic Medicines on Mortality in Peritoneal Dialysis Patients with Sleep Disorders: A Retrospective Cohort Study.

    abstract:BACKGROUND:Sedative-hypnotic medication is widely used among continuous ambulatory peritoneal dialysis (CAPD) patients with sleep disorders; however, its effect on mortality has rarely been investigated. METHODS:Logistic regression was employed to identify factors associated with sedative-hypnotic medication, whose ef...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章

    doi:10.1159/000484922

    authors: Zhou Y,Yin P,Li B,Li J,Huang N,Wu H,Ullah H,Yang X,Yu X

    更新日期:2018-01-01 00:00:00

  • Peritonitis - does peritoneal dialysis modality make a difference?

    abstract:BACKGROUND/AIMS:Peritonitis remains a significant problem for patients on peritoneal dialysis (PD). There is a certain amount of controversy as to whether peritoneal modality is itself a risk factor for peritonitis, with one modality higher than another. METHODS:A literature review was done (August 2009) searching und...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000245641

    authors: Piraino B,Sheth H

    更新日期:2010-01-01 00:00:00

  • Erythropoietin-induced changes in protein nutrition: quantitative assessment by urea kinetic modeling analysis.

    abstract::To evaluate objectively the effects of recombinant human erythropoietin (rHuEPO) administration on nutritional status in stable dialyzed patients, we used urea kinetic modeling (UKM) analysis and dietary protein intake evaluation by dietary assessment. Fifteen patients (9 females, 6 males; mean age 46.9 +/- 15.6 years...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000169982

    authors: Canaud B,Bouloux C,Rivory JP,Taib J,Garred LJ,Florence P,Mion C

    更新日期:1990-01-01 00:00:00

  • Fluid overload in critically ill patients with acute kidney injury.

    abstract::Fluid overload may occur in critically ill patients as a result of aggressive resuscitation therapies. In such circumstances, persistent fluid overload must be avoided since it does not benefit the patient while it may be harmful. In the septic patient, early volume expansion seems to be beneficial. Beyond that thresh...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000287776

    authors: Cerda J,Sheinfeld G,Ronco C

    更新日期:2010-01-01 00:00:00

  • Net ultrafiltration in peritoneal dialysis: role of direct fluid absorption into peritoneal tissue.

    abstract::'Net ultrafiltration' in peritoneal dialysis refers to the difference between the osmotically induced ultrafiltration into the peritoneal cavity and the fluid loss from the cavity during dialysis. Recent research has demonstrated that, during a 3- to 4-hour experimental dialysis, 5-25% of the total fluid loss is via l...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000170041

    authors: Flessner MF

    更新日期:1992-01-01 00:00:00

  • Cytokine secretion and markers of inflammation in relation to acidosis among chronic hemodialysis patients.

    abstract:BACKGROUND:Various cytokines are increased in hemodialysis (HD) patients, and are considered prognostic markers. Metabolic acidosis is common among chronic HD patients and is associated with survival. The relationship between acidosis and cytokines in HD patients has not been fully explored. The study aim was to measur...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000346689

    authors: Ori Y,Bergman M,Bessler H,Zingerman B,Levy-Drummer RS,Gafter U,Salman H

    更新日期:2013-01-01 00:00:00

  • Health-Related Quality of Life and Its Factors of Hemodialysis Patients in Suzhou, China.

    abstract:BACKGROUND:To identify factors of health-related quality of life (HRQOL) of Chinese end-stage renal disease patients undergoing hemodialysis (HD). METHODS:In all, 315 HD patients were recruited from a tertiary hospital in Suzhou, -China. Each patient completed the Kidney Disease Quality of Life Short Form. It generate...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章

    doi:10.1159/000485962

    authors: Pan CW,Wu Y,Zhou HJ,Xu BX,Wang P

    更新日期:2018-01-01 00:00:00

  • Adequacy of peritoneal dialysis--where are we going?

    abstract::The present working hypothesis regarding adequacy issues in peritoneal dialysis is that dialysis is a major determinant of protein intake and therefore nutritional status in these patients. Present data however is controversial. This is in part due to differences in methodology and the calculations used for the data p...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000170201

    authors: Burkart JM

    更新日期:1995-01-01 00:00:00