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Computer interaction: catheters

Z J Twardowski1, K D Nolph, R Khanna

  • 1Department of Medicine, University of Missouri, Dalton Research Center, Columbia.

Advances in Peritoneal Dialysis. Conference on Peritoneal Dialysis
|January 1, 1994
PubMed
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Peritoneal dialysis catheter use shifted towards bent intramural and coiled intraperitoneal segments. Double cuff catheters remain preferred, with surgical dissection as the primary implantation method.

Area of Science:

  • Nephrology
  • Medical Devices
  • Surgical Procedures

Background:

  • Peritoneal dialysis (PD) is a crucial renal replacement therapy.
  • Peritoneal catheter design and implantation techniques evolve to improve patient outcomes.
  • Previous surveys in 1987 and 1989 established baseline preferences for PD catheters.

Purpose of the Study:

  • To assess current preferences and practices regarding peritoneal dialysis catheters among nephrologists and surgeons.
  • To identify trends in catheter design, implantation methods, and peri-procedural management since prior surveys.
  • To understand perceptions of infection risk factors and the timing of initiating ambulatory PD.

Main Methods:

  • A computer-based survey was administered to 650-690 respondents at the 14th Annual Peritoneal Dialysis Conference in Orlando, Florida, on January 24, 1994.

Related Experiment Videos

  • Respondents voted on questions concerning peritoneal catheter types, implantation techniques, and related practices.
  • Data were compared with previous surveys from 1987 and 1989 to identify changes over time.
  • Main Results:

    • Increased use of catheters with bent intramural segments (e.g., Swan neck) and coiled intraperitoneal segments was observed.
    • The Tenckhoff catheter remained popular but showed a decreasing trend; double cuff catheters were used by over 70% of respondents.
    • Surgical dissection (72.7%) was the predominant catheter placement method, with surgeons performing most implantations (87.4%).
    • Prophylactic antibiotic use prior to implantation appeared to be increasing.
    • Most centers did not routinely screen for Staphylococcus aureus nasal carriage, and the majority delayed initiating ambulatory PD post-implantation.

    Conclusions:

    • Peritoneal catheter technology has evolved, favoring specific designs for improved performance.
    • Double cuff catheters and surgical dissection remain standard practices in catheter implantation.
    • Practices regarding infection prophylaxis and the timing of dialysis initiation show some variation and potential shifts.