• Nephrol Nurs J · Jul 2004

    Comparative Study Clinical Trial

    The role of real-time ultrasound and physical examination measurements in placement of cuffed-tunneled hemodialysis catheters.

    • Carol M Headley, Carol Lynn Thompson, Michael Carter, Arshad Khan, and Barry M Wall.
    • Veterans Affairs Medical Center in Memphis, TN, USA.
    • Nephrol Nurs J. 2004 Jul 1; 31 (4): 407-10; 416-9.

    AbstractThe portability of non-invasive ultrasound has resulted in an expansion of its utilization into a variety of clinical settings. Since ultrasound is recommended for initial vein cannulation during catheter placement, it is conceivable that ultrasound may also be used to verify catheter position. The purpose of this study was to evaluate the feasibility of tunneled hemodialysis catheter placement without the use of fluoroscopy. Determination of appropriate catheter length using physical exam measurements and verification of correct placement using portable ultrasound were examined. A total of 61 subjects, 31 with and 30 without a tunneled hemodialysis catheter underwent echocardiographic examination using the SonoSite 180PLUS (HCU; Bothell, WA) portable ultrasound. The investigator, using dynamic ultrasound imaging, was able to identify correct position in 30 of the 31 subjects with catheters. Still echocardiographic images were reviewed by two cardiologists and determined to be inconclusive. Physical examination measurements correlated well with the interventional radiologist guide-wire measurements (p < .01; r = 0.65) and concluded to be a useful method for determining appropriate cuffed catheter length.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…