Related Experiment Video

Updated: Oct 10, 2025

Author Spotlight: Hickman Catheter Use for Long-Term Vascular Access in a Preclinical Swine Model
08:51

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

Published on: March 31, 2023

4.6K

Central Venous Catheters for Hemodialysis-the Myth and the Evidence

Mohammad Ahsan Sohail1, Tushar J Vachharajani2,3, Evamaria Anvari2,3

  • 1Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

Kidney International Reports
|December 13, 2021
PubMed

Insights

Hemodialysis-central venous catheter (HD-CVC) insertion is common for end-stage kidney disease patients. This review provides guidelines to improve HD-CVC placement success and prevent complications like infections and thrombosis.

Area of Science:

  • Nephrology
  • Vascular Access Procedures

Background:

  • Hemodialysis-central venous catheters (HD-CVCs) are crucial for initiating kidney replacement therapy, used by ~80% of US patients.
  • Complications such as catheter-related bloodstream infections (CR-BSIs), thrombosis, and central vein stenosis pose significant clinical and financial burdens.

Purpose of the Study:

  • To provide comprehensive operator guidelines for HD-CVC insertion.
  • To address common questions and myths concerning HD-CVC placement and management.

Main Methods:

  • Review article synthesizing current knowledge on HD-CVC insertion.
  • Discussion of basic principles, asepsis, catheter length, tip positioning, and flow rate.

Main Results:

  • Highlights the importance of standardized guidelines for improving HD-CVC insertion success rates.
  • Addresses key areas of concern including infection prevention and optimal catheter function.

Conclusions:

  • Comprehensive guidelines are essential for medical professionals performing HD-CVC insertion.
  • Optimizing HD-CVC placement and management can mitigate adverse events and improve patient outcomes.

Keywords:
central venous cathetercuffed catheterdialysis vascular accesshemodialysistunneled catheter

More Related Videos

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit09:57

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

Published on: July 13, 2019

13.2K
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

2.8K

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...
403
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,...
179
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...
265
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...
13
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...
172
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
244