Related Experiment Video

Updated: Jul 13, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit

Published on: July 13, 2019

Central Venous Catheters in hemodialysis: an actual conundrum without solutions

B Di Iorio1

  • 1Nephrology and Dialysis Unit, 'A. Landolfi' Hospital, Solofra (AV) - Italy.

The Journal of Vascular Access
|July 20, 2007
PubMed

Insights

Maintaining vascular access for End Stage Renal Disease (ESRD) patients is crucial. This paper discusses the use, placement, and infection prevention of central venous catheters (CVCs) when other options are unsuitable.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Infectious Disease

Background:

  • Vascular access is critical for hemodialysis (HD) in End Stage Renal Disease (ESRD).
  • An ideal access provides sufficient blood flow, long-term usability, and minimal complications.
  • Native arteriovenous fistulas (AVFs) are preferred but not always feasible.

Purpose of the Study:

  • To outline the indications for central venous catheter (CVC) use in hemodialysis.
  • To describe optimal CVC placement strategies.
  • To detail methods for preventing CVC-related infections.

Main Methods:

  • Review of current literature on hemodialysis vascular access.
  • Discussion of CVC types, insertion sites, and management protocols.
  • Analysis of infection control measures for CVCs.

Main Results:

  • CVCs are necessary when AVFs are not possible, offering a vital venous access route.
  • Proper CVC positioning is essential for function and complication reduction.
  • Implementing strict infection prevention protocols significantly lowers CVC-related bloodstream infections.

Conclusions:

  • Central venous catheters remain an indispensable, though challenging, vascular access option for specific hemodialysis patients.
  • Effective CVC management, including placement and infection control, is key to patient care.
  • Ongoing research and adherence to best practices are needed to address the persistent challenges in hemodialysis vascular access.

More Related Videos

Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model08:51

Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model

Published on: March 31, 2023

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

Related Concept Videos

Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in critically...
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...