• Anaesthesiol Intensive Ther · Jul 2013

    Review

    Methods of central vascular access for haemodialysis.

    • Jarosław Leś and Zofia Wańkowicz.
    • Department of Anaesthesiology and Intensive Therapy, Military Institute of Medicine in Warsaw, Poland. jles@wim.mil.pl.
    • Anaesthesiol Intensive Ther. 2013 Jul 1; 45 (3): 171-6.

    AbstractThe 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.

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